# WYOMING NEUROLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235282120
- **Authorized official:** TRACY J FARRIS FNP (FNP)
- **Authorized official phone:** (307) 432-0335

## Contact information

- **Practice address:** 2301 HOUSE AVE, STE 203, CHEYENNE, WY 82001-3176
- **Practice address phone:** (307) 432-0335
- **Practice address fax:** (307) 432-0341
- **Mailing address:** 2301 HOUSE AVE, STE 203, CHEYENNE, WY 82001-3176
- **Mailing address phone:** (307) 432-0335
- **Mailing address fax:** (307) 432-0341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 159020190 | WY | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/23/2008