Individual
MARIE ADELLA ZUMWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2723 CHRISTENSEN RD, CHEYENNE, WY 82007-9662
(747) 204-6096
Mailing address
7076 ROAD 55F, TORRINGTON, WY 82240-7771
(307) 532-6600
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
27180
WY
207Q00000X
Family Medicine Physician
27180
WY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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