Organization
PROSPERITY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JONES (ADMINISTRATOR)
(307) 679-1403
Entity
Organization
Contact information
Practice address
107 E OWEN AVE, LYMAN, WY 82937-5119
(307) 679-1403
(307) 242-5077
Mailing address
PO BOX 1322, LYMAN, WY 82937-1322
(307) 679-1403
(307) 242-5077
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
05/09/2025
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