Healthcare Provider Details

I. General information

NPI: 1902261795
Provider Name (Legal Business Name): ERIN L. ANZALONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN KERN

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 WICKS LN
BILLINGS MT
59105-3810
US

IV. Provider business mailing address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-8300
  • Fax:
Mailing address:
  • Phone: 406-414-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMED-PAC-LIC-117555
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number117555
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: