Organization
INSTACARE CENTER OF WYOMING - WEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE HANSON DNP, FNP-BC (DIRECTOR)
(307) 266-1719
Entity
Organization
Contact information
Practice address
900 CY AVE, CASPER, WY 82601-4174
(307) 266-1719
(307) 472-7150
Mailing address
900 CY AVE, CASPER, WY 82601-4174
(307) 266-1719
(307) 472-7150
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134694383
—
WY
Enumeration date
02/19/2019
Last updated
07/02/2019
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