Individual
MRS. YULETA GEORGINE MARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
14 GREAT PLAINS ROAD, ARAPAHOE, WY 82510
(307) 856-9281
Mailing address
PO BOX 1310, RIVERTON, WY 82501-0158
(817) 368-1169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44541
WY
390200000X
Student in an Organized Health Care Education/Training Program
839186
TX
Other
Enumeration date
06/02/2019
Last updated
02/13/2020
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