Organization
HOLISTIC PAIN MANAGEMENT OF WYOMING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SHEDD CRNA (CEO)
(307) 271-2332
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, RIVERTON, WY 82501-3230
(307) 271-2332
Mailing address
1001 W MAIN ST STE B, RIVERTON, WY 82501-3230
(307) 271-2332
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/20/2022
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