THERESA LERCH C FNP CNM PC

JACKSON, WY
NPI1437335866
Entity TypeOrganization
Authorized ContactTHERESA LERCH
President
307-733-4585
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  18054.0164)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: WY  18054.0164)
Enumeration Date2008-01-16
Last Update Date2008-12-03
Business Address
THERESA LERCH C FNP CNM PC
320 E BROADWAY SUITE 1C
JACKSON, WY 83001
Phone number: 307-733-4585
Mailing Address
THERESA LERCH C FNP CNM PC
PO BOX 9487
JACKSON, WY 83002-9487
Phone number: 307-733-4585