Individual
MARIAH PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1180 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 212-7717
Mailing address
1104 RUGER BLVD, ROCK SPRINGS, WY 82901-6188
(307) 371-3160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55667
WY
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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