Individual
CHERYL PUSHCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 20TH STREET STE 350, CHEYENNE, WY 82001-3882
(307) 996-1560
(307) 996-1565
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19553.1269
WY
363LF0000X
Family Nurse Practitioner
Primary
1269
WY
Other
Enumeration date
10/17/2013
Last updated
11/04/2022
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