Individual
NANCY SUE ETCHINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ISC
Contact information
Practice address
1327 DANA AVE, SHERIDAN, WY 82801-2403
(307) 672-5011
(307) 674-7529
Mailing address
1327 DANA AVE, SHERIDAN, WY 82801-2403
(307) 672-5011
(307) 674-7529
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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