Wyoming Wellness Center, LLC

NPI #1780334466 in Torrington, Wyoming

Provider Information

NPI Number
1780334466
Entity Type
Organization
Organization Name
Wyoming Wellness Center, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 25, 2022
Last Updated
Mar 25, 2022

Practice Location

Address
601 NIOBRARA AVE
State
Wyoming
ZIP Code
82240-1522
Phone
(307) 532-3035

Authorized Official

Name
MRS. TRACY RENE' RICHARD, CRNA / APRN
Title
OWNER / PROVIDER
Phone
(307) 532-3035

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Organizations

Provider Name
Wyoming Wellness Center LLC

Part of Wyoming Wellness Center LLC

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