Individual
CARLA JILL LEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
504 E LYONS ST, LARAMIE, WY 82072-2132
(307) 745-0085
(307) 745-0084
Mailing address
504 E LYONS ST, LARAMIE, WY 82072-2132
(307) 745-0085
(307) 745-0084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16074.262
WY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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