Individual
LEESA MARIE BELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1842 SUGARLAND DR STE 103, SHERIDAN, WY 82801-5719
(307) 673-4960
(307) 673-4951
Mailing address
PO BOX 327, BUFFALO, WY 82834-0327
(307) 620-9623
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
15089-1709
WY
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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