| NPI | 1871623124 |
|---|---|
| Former Legal Business Name | POPO AGIE WOMEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUTH C ZEBROSKI President 307-332-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WY 9192.0137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 9192.0137) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 9192.0137) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-03-05 |