Individual
TEECEE ANN HAILEY-FULFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
145 S DURBIN ST STE 108, CASPER, WY 82601-2566
(307) 333-5757
(307) 439-2141
Mailing address
PO BOX 1117, CASPER, WY 82602-1117
(307) 333-5757
(307) 439-2141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27666.1343
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139060100
—
WY
Enumeration date
09/18/2014
Last updated
06/20/2022
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