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Contact Information

ELIZABETH S DANNEWALD, APRN, AGPCNP-BC
625 E BROADWAY AVE
JACKSON, WY83001
 Phone: 307-739-6195
 Fax: 307-739-7229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH S DANNEWALD · (Female)

NPI Number 1669949590
Status Active
Credentials APRN, AGPCNP-BC
Entity Individual
Enumeration date 10/29/2018
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 44970
  • WY Medicaid 154469300
Hospital affiliation(s)
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
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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