Organization
GRACE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY LYN MURPHY FNP-C, PMHNPBC (FAMILY NURSE PRACTITIONER)
(307) 235-3333
Entity
Organization
Contact information
Practice address
1300 E A ST STE 201, CASPER, WY 82601-2260
(307) 235-3333
(307) 266-5155
Mailing address
10265 CENTRAL PARK AVE, EVANSVILLE, WY 82636
(307) 235-3333
(307) 266-5155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
01/13/2014
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