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Individual

TWYLA M THALKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, FNP

Contact information

Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7340
(307) 358-7304
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7340
(307) 358-7304

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17083.0250
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120377100
WY
01
309067
BCBS OF WYOMING
WY
Enumeration date
09/25/2006
Last updated
07/19/2013
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