Organization
STONE MEADOW HEALTH AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA STODDARD MS,FNP (PRESIDENT)
(307) 745-8298
Entity
Organization
Contact information
Practice address
204 MCCOLLUM ST, SUITE 203, LARAMIE, WY 82070-5103
(307) 745-8298
(307) 742-9468
Mailing address
204 MCCOLLUM ST, SUITE 203, LARAMIE, WY 82070-5103
(307) 745-8298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10494.0283
WY
Other
Enumeration date
09/11/2015
Last updated
11/05/2015
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