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LIVINGSTON MED SPA PLLC
NPI 1033805635
Nurse Practitioner in Livingston, MT

Active since April 17, 2023
115 HIGH GROUND AVE, LIVINGSTON, MT 59047(406) 224-3036 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Livingston Med Spa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVINGSTON MED SPA PLLC (NPI 1033805635), doing business as Liv Med Spa, is a healthcare organization registered as a nurse practitioner in Livingston, Montana and active in the NPI registry since April 2023. The organization lists Gretchen Wise, Owner, as its authorized official.

NPPES Registry Identity

NPI1033805635
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLIVINGSTON MED SPA PLLC
Location Address115 HIGH GROUND AVELivingston, MT 59047-3906
Mailing Address115 High Ground AveLivingston, MT 59047-3906 · (406) 224-3036
Phone(406) 224-3036
Organization SubpartNo
Authorized OfficialGretchen WiseOwner · (406) 224-3036
Enumeration DateApril 17, 2023
NPPES CertifiedApril 15, 2023
✔ NPI 1033805635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
115 HIGH GROUND AVE, Livingston, MT 59047
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Other Names 1

Doing Business AsLiv Med Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Livingston Med Spa PLLC's NPI number?

The NPI number for Livingston Med Spa PLLC is 1033805635. It was assigned to this organization in the NPPES registry on April 17, 2023. The provider is doing business as Liv Med Spa.

Where is Livingston Med Spa PLLC located?

Livingston Med Spa PLLC is located at 115 High Ground Ave, Livingston, MT 59047. The listed phone number is (406) 224-3036.

What is Livingston Med Spa PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Livingston Med Spa PLLC was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.