| NPI | 1023177375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE BEGALLA President 307-789-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 19196.0204) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-07-14 |