Organization
EKSTROMS NURSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE LEE EKSTROM RN (REGISTERED NURSE)
(605) 390-8970
Entity
Organization
Contact information
Practice address
111 LEWIS RD, GILLETTE, WY 82718-8847
(605) 390-8970
Mailing address
111 LEWIS RD, GILLETTE, WY 82718-8847
(605) 390-8970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
28967
WY
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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