| NPI | 1235286634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY MULLINS Nursing Manager 307-633-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: WY 836000111) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-11-04 |