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Individual

AMANDA RAYE ZUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3100 W LAKEWAY RD STE 3, GILLETTE, WY 82718-6373
(307) 682-7819
Mailing address
212 E TONK ST, GILLETTE, WY 82718-5884
(307) 670-2784

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23443.1224
WY
367500000X
Certified Registered Nurse Anesthetist
R31539
ND

Other

Enumeration date
01/17/2013
Last updated
09/24/2025
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