Individual
MRS. HANNAH FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1277 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8991
(307) 745-8167
Mailing address
1277 N 15TH ST, LARAMIE, WY 82072-2343
(303) 908-5995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA897
WY
363A00000X
Physician Assistant
PT897
WY
Other
Enumeration date
09/03/2020
Last updated
11/16/2023
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