Individual
SALLY WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 WEATHERBY DR, CHEYENNE, WY 82007-9159
(307) 286-1445
Mailing address
412 WEATHERBY DR, CHEYENNE, WY 82007-9159
(307) 286-1445
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
24358
WY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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