| NPI | 1487295846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SHEDD CEO 307-271-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-10-20 |