Adrienne Southard

NPI #1356621213 in Evanston, Wyoming

Provider Information

NPI Number: 1356621213
Entity Type: Individual
Name: Adrienne Southard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse's Aide
Enumeration Date: Aug 24, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 75 YELLOW CREEK RD
Address 2: 105
City: Evanston
State: Wyoming
ZIP Code: 82930-5235
Phone: (307) 789-4224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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