TIA JEAN HANSULD (WELCH)

CASPER, WY
NPI1760572630
Former NameTIA JEAN WELCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  9090.162)
Enumeration Date2006-10-13
Last Update Date2015-01-08
Business Address
Ms. TIA JEAN HANSULD (WELCH) FNP
680 E 18TH ST
CASPER, WY 82601-4703
Phone number: 307-259-6870
Mailing Address
Ms. TIA JEAN HANSULD (WELCH) FNP
680 E 18TH ST
CASPER, WY 82601-1759
Phone number: 307-237-7569