Individual
WYATT N POWELL-GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
920 GETTYSBURG DR, CHEYENNE, WY 82001-7434
(307) 761-4719
Mailing address
920 GETTYSBURG DR, CHEYENNE, WY 82001-7434
(307) 761-4749
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
45371
WY
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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