Individual
KATHERINE MARIE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2301 HOUSE AVE STE 301, CHEYENNE, WY 82001-3178
(307) 637-1600
Mailing address
4500 CLEVELAND AVE, CHEYENNE, WY 82001-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
43387
WY
Other
Enumeration date
07/01/2024
Last updated
10/16/2024
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