Individual
DIANE MARIE WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
902 N HIGLEY BLVD, RAWLINS, WY 82301-5906
(307) 324-3723
(307) 370-4070
Mailing address
902 N HIGLEY BLVD, RAWLINS, WY 82301-5906
(307) 324-3723
(307) 370-4070
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
23711.0837
WY
363LF0000X
Family Nurse Practitioner
Primary
23711.0837
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110573001
MEDICAID
WY
01
—
1558082669
NPI
WY
05
—
200547740A
—
WY
Enumeration date
11/14/2006
Last updated
02/07/2024
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