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Organization

ELLEN NOLAN, APRN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN NOLAN APRN (PRESIDENT)
(307) 690-4111
Entity
Organization

Contact information

Practice address
420 S. JACKSON ST., JACKSON, WY 83001
(307) 690-4111
Mailing address
PO BOX 3877, JACKSON, WY 83001-3877
(307) 690-4111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15711.0192
WY

Other

Enumeration date
07/08/2010
Last updated
06/09/2016
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