Individual
SHATHENA BRYANNE MEEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 S WASHINGTON ST, AFTON, WY 83110-5117
(307) 886-5266
Mailing address
6715 GHARRETT AVE, MISSOULA, MT 59803-3203
(406) 381-1076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57803
WY
Other
Enumeration date
09/22/2025
Last updated
10/22/2025
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