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NPI 1154245223 · on the registry since 2026 · sole proprietor
Practice
- Address
- 407 S 21st St
Worland, WY 82401 - Phone
- (307) 921-1172
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Also registered as
- 251C00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming