Individual
AMINATA AW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
PO BOX 6282, SHERIDAN, WY 82801-1682
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
46048
WY
363LA2100X
Acute Care Nurse Practitioner
Primary
46048
WY
363LA2200X
Adult Health Nurse Practitioner
46048
WY
363LG0600X
Gerontology Nurse Practitioner
46048
WY
Other
Enumeration date
09/08/2020
Last updated
11/03/2022
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