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Individual

MS. NIKKI LYNN FEDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 266-4000
(307) 266-4545
Mailing address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 266-4000
(307) 266-4545

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
101528
WI
363AS0400X
Surgical Physician Assistant
Primary
2725
CO

Other

Enumeration date
04/20/2009
Last updated
04/12/2024
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