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Contact Information

WOMENS CLINIC OF NORTHEASTERN WYOMING PC
212 W BURKITT ST
SHERIDAN, WY82801-4206
 Phone: 307-672-0401
 Fax: 307-672-0317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WOMENS CLINIC OF NORTHEASTERN WYOMING PC · (Female)

NPI # 1982775508
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2006
Last updated 10/10/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 13730119
  • WY License # 2719A
  • WY Medicaid 107189100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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