Aevum Functional Medicine & Longevity
Clinic/Center in Billings, MT. Organization (NPI-2).
NPI number1760396519
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1760396519
- Entity type
- Organization (NPI-2)
- Legal business name
- Aevum Functional Medicine & Longevity
- Organization subpart
- No
- Enumeration date
- Sep 29, 2026
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2047 Broadwater Ave Ste 3Billings, MT 59102-4856
Phone 406-617-6120
Mailing address
2047 Broadwater Ave Ste 3Billings, MT 59102-4856
Phone 406-617-6120
Authorized official
Taylor Hatcher Gregory
Owner, Nurse Practitioner
4066176120
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