Individual
CANDACE MAE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
(307) 755-4321
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
(307) 755-4321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30715.1723
WY
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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