| NPI | 1750892436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JACOBSON CEO 307-269-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2025-04-16 |