| NPI | 1083806111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J HEITZ President 307-382-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 17189.0261) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2010-01-25 |