Individual
GRETA SKAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 E 24TH ST, CHEYENNE, WY 82001-3126
(307) 634-9311
(307) 634-5627
Mailing address
5510 TOWNSEND PL APT B, CHEYENNE, WY 82009-3727
(307) 760-4811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46489
WY
363LF0000X
Family Nurse Practitioner
Primary
46489
WY
Other
Enumeration date
09/10/2020
Last updated
11/02/2022
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