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Contact Information

CARMEN PETSCH, AGACNP-BC
2301 HOUSE AVE
CHEYENNE, WY82001-3176
 Phone: 307-634-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARMEN PETSCH · (Female)

NPI # 1134809759
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 07/19/2023
Last updated 02/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 52688
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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