Individual
DONALD COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 262-0211
Mailing address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 262-0211
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19827.1612
WY
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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