Individual
RYAN EDWARD RUSSI-MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3114 WILLETT DR, LARAMIE, WY 82072
(307) 755-4540
Mailing address
1412 S 17TH ST APT C, LARAMIE, WY 82070-4493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48439
WY
Other
Enumeration date
08/28/2020
Last updated
10/02/2023
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