Individual
MONICA JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 S CONWELL ST, STE #3, CASPER, WY 82601-2749
(307) 233-0246
Mailing address
3632 AMERICAN WAY B, CASPER, WY 82604
(307) 233-0246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23702.1441
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23702.1441
NP
WY
Enumeration date
10/19/2015
Last updated
10/19/2015
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