Individual
KIMBERLY ANNE BEGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
75 YELLOW CREEK RD, SUITE 202, EVANSTON, WY 82930-5235
(307) 789-6111
(307) 789-7111
Mailing address
PO BOX 1382, EVANSTON, WY 82931-1382
(307) 789-6111
(307) 789-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19196.0204
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118122000
—
WY
Enumeration date
06/07/2006
Last updated
07/14/2015
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