Individual
MARY FREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
388 US HIGHWAY 20 S, BASIN, WY 82410-8902
(307) 568-3311
Mailing address
388 US HIGHWAY 20 S, BASIN, WY 82410-8902
(307) 568-3311
(307) 568-2139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14285.0135
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108493300
—
WY
Enumeration date
08/31/2006
Last updated
04/18/2024
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