| NPI | 1437434354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE R CARVER Nurse Practitioner 307-789-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 21231-1125) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-12-23 |