Individual
SARAH KOOIENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1252 N 22ND ST, UNIT A, LARAMIE, WY 82072-5306
(307) 745-5364
Mailing address
820 EAST 17TH STREET, CHEYENNE, WY 82001-4797
(307) 632-2434
(307) 634-7691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34298.1347
WY
Other
Enumeration date
09/14/2006
Last updated
06/10/2020
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