Individual
AMY J HARNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 BLUEGRASS CIR, SUITE 200, CHEYENNE, WY 82009-7323
(307) 778-2577
(307) 635-2131
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 778-2577
(307) 635-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5860A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00269
WINHEALTH PARTNERS
WY
05
—
111897800
—
WY
01
—
304177
BLUE SHIELD
WY
01
—
82009B002
WPS TRIWEST
WY
01
—
990012349
RAILROAD MEDICARE
WY
Enumeration date
07/21/2006
Last updated
11/08/2022
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