Organization
UINTA URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANNE BEGALLA CFNP (PRESIDENT)
(307) 789-6111
Entity
Organization
Contact information
Practice address
75 YELLOW CREEK RD, SUITE 202, EVANSTON, WY 82930
(307) 789-6111
Mailing address
PO BOX 1382, EVANSTON, WY 82931-1382
(307) 789-6111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19196.0204
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118122000
—
WY
Enumeration date
12/06/2006
Last updated
07/14/2015
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