Individual
STACEY LYNNE HASTREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1415
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29229.1108
WY
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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