Organization
MICHAELA R SISNEROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA RAE SISNEROS RN (RN - NURSE)
(307) 851-3184
Entity
Organization
Contact information
Practice address
2890 COOPER RD, RIVERTON, WY 82501
(307) 851-3184
(307) 332-0131
Mailing address
2890 COOPER RD, RIVERTON, WY 82501-8903
(307) 851-3184
(307) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
30961
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105726000
—
WY
Enumeration date
02/25/2014
Last updated
02/25/2014
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