Individual
MRS. HOLLY DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24770
WY
163WP0808X
Psychiatric/Mental Health Registered Nurse
24770
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352900
—
WY
05
—
106352903
—
WY
05
—
106352907
—
WY
05
—
106352908
—
WY
Enumeration date
08/14/2007
Last updated
02/10/2012
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