Individual
MS. MARY JANE PRYSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12013
WY
163WH0200X
Home Health Registered Nurse
12031
WY
Other
Enumeration date
08/25/2006
Last updated
07/21/2022
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