Individual
MEGAN LOUISE MAKELKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S CONWELL ST, CASPER, WY 82601-3921
(307) 265-8300
Mailing address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44700
WY
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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