Search › Wyoming › 152W00000X
Kristanza Bronnenberg, OD
NPI 1801437140 · on the registry since 2019
Practice
- Address
- 620 19th St
Cody, WY 82414 - Phone
- (307) 587-4206
- Fax
- (307) 587-5539
- Organisation at this address
- Basin Vision Center, P. C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 5460 E La Palma Ave, Anaheim, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-18
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