| NPI | 1538310925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE HART President 307-460-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WY 17320.174) |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2008-10-04 |