| NPI | 1053181701 |
|---|---|
| Doing Business As | PURPLE SKIES CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RASMUSON Nurse Practitioner/Owner 307-221-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-04-24 |