Individual
MRS. SUE ELLEN TARDIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1812 SILVER SPUR RD, CHEYENNE, WY 82009-1208
(307) 421-0396
Mailing address
1812 SILVER SPUR RD, CHEYENNE, WY 82009-1208
(307) 421-0396
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
19148
WY
163WH1000X
Hospice Registered Nurse
19148
WY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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