Individual
CHRISTINE AMY NIEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5989
(307) 332-7464
Mailing address
PO BOX 51, FORT WASHAKIE, WY 82514-0051
(307) 332-9168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17846
WY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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