Individual
PAUL MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2201 S DOUGLAS HWY STE 120, GILLETTE, WY 82718-5408
(307) 370-1574
Mailing address
2201 S DOUGLAS HWY STE 120, GILLETTE, WY 82718-5408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16407
TN
363LF0000X
Family Nurse Practitioner
Primary
54875
WY
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-257321
MT
Other
Enumeration date
01/14/2012
Last updated
02/05/2025
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