RYAN STEPHANIE BOOTHE

GILLETTE, WY
NPI1710629704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WY  53158)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WY  41646)
Enumeration Date2022-04-10
Last Update Date2023-10-13
Business Address
Mrs. RYAN STEPHANIE BOOTHE CPNP-AC
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-1500
Mailing Address
Mrs. RYAN STEPHANIE BOOTHE CPNP-AC
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-670-5653