Individual
DR. EDWARD HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
122 PETERSON PKWY, THAYNE, WY 83127
(307) 883-4437
(307) 883-4436
Mailing address
122 PETERSON PKWY, THAYNE, WY 83127
(307) 883-4437
(307) 883-4436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
WY
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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