| NPI | 1801287743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LAUREL BOWMAN Director Of Nursing Services 307-333-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 19895) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WY 19895) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-07-21 |