Individual
TUCKER LEA VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC NREMT MS
Contact information
Practice address
1000 E UNIVERSITY AVE, LARAMIE, WY 82071-2001
(541) 263-0924
Mailing address
PO BOX 9, JOSEPH, OR 97846-0009
(541) 263-0924
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3732185
—
2255A2300X
Athletic Trainer
Primary
2000057571
—
Other
Enumeration date
01/25/2025
Last updated
05/27/2025
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