Individual
ANNALISE FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
800 E 20TH ST STE 300, CHEYENNE, WY 82001-3882
(307) 633-7444
Mailing address
800 E 20TH ST STE 300, CHEYENNE, WY 82001-3882
(307) 633-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
36066
WY
363LF0000X
Family Nurse Practitioner
Primary
1825
WY
Other
Enumeration date
10/06/2018
Last updated
11/09/2018
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