Novus Wyoming a Professional Corporation

NPI #1811562499 in Kemmerer, Wyoming

Provider Information

NPI Number: 1811562499
Entity Type: Organization
Organization Name: Novus Wyoming a Professional Corporation
Primary Specialty: Anesthesiology
Enumeration Date: May 25, 2021
Last Updated: Feb 23, 2022

Practice Location

Address: 711 ONYX ST
City: Kemmerer
State: Wyoming
ZIP Code: 83101-3214
Phone: (404) 419-0230

Authorized Official

Name: CARRIE VAUGHAN
Title: PRACTICE MANAGER
Phone: (404) 419-0237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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