Individual
DR. BRANDON TYLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
52996
WY
Other
Enumeration date
07/07/2022
Last updated
05/06/2025
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