DIANA CHARLSON

SHERIDAN, WY
NPI1689129116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  27134.1541)
Enumeration Date2016-08-25
Last Update Date2024-04-08
Business Address
DIANA CHARLSON
61 S GOULD ST
SHERIDAN, WY 82801-6304
Phone number: 307-675-2690
Mailing Address
DIANA CHARLSON
1333 W 5TH ST STE 110
SHERIDAN, WY 82801-2752
Phone number: 307-675-2650