Organization
BIDONDE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K HAM FNP-C (NURSE PRACTITIONER OWNER)
(307) 684-1444
Entity
Organization
Contact information
Practice address
107 W HESSE ST, BUFFALO, WY 82834-1501
(307) 684-1444
(307) 684-0999
Mailing address
107 W HESSE ST, BUFFALO, WY 82834-1501
(307) 684-1444
(307) 684-0999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23899-0963
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126725600
—
WY
Enumeration date
11/29/2011
Last updated
11/29/2011
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