Individual
SHEENA MARIE SISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 82609
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD, STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26199.1362
WY
363LF0000X
Family Nurse Practitioner
26199.1362
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26199.1362
LICENSE
WY
Enumeration date
01/15/2013
Last updated
08/22/2024
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