Individual
WENDY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1333 W 5TH ST STE 103, SHERIDAN, WY 82801-2752
(307) 675-4610
(307) 675-4615
Mailing address
1333 W 5TH ST STE 110, SHERIDAN, WY 82801-2752
(307) 675-4610
(307) 675-4615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
483
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128882200
—
WY
Enumeration date
09/16/2009
Last updated
05/12/2021
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