Individual
MISTY CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2815 CASTLE PINES DR, GILLETTE, WY 82718-5501
(307) 680-9070
Mailing address
2815 CASTLE PINES DR, GILLETTE, WY 82718-5501
(307) 680-9070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21553
WY
163WG0000X
General Practice Registered Nurse
21553
WY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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