Individual
NICOLE ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 DEW DR, CASPER, WY 82601-9792
(307) 259-3767
Mailing address
2330 DEW DR, CASPER, WY 82601-9792
(307) 259-3767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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