Individual
CARMEN PETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2301 HOUSE AVE, CHEYENNE, WY 82001-3176
(307) 634-2273
Mailing address
6419 S 108TH AVE, OMAHA, NE 68137-4732
(402) 216-8360
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
52688
WY
Other
Enumeration date
07/19/2023
Last updated
02/02/2024
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