| NPI | 1699184739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WENZEL VECCHIO Family Nurse Pracitioner 307-635-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WY 363LF0000X) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |