Wyoming Wellness Center LLC

NPI #1922838028 in Torrington, Wyoming

Provider Information

NPI Number
1922838028
Entity Type
Organization
Organization Name
Wyoming Wellness Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WYOMING WELLNESS CENTER LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Aug 3, 2024
Last Updated
Aug 27, 2024

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Pain ManagementPain Management
Nurse Anesthetist, Certified Registered

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