Organization
HOMETOWN MEDICAL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TUPPER CNP-BC (OWNER)
(307) 746-8108
Entity
Organization
Contact information
Practice address
219 W MAIN ST, NEWCASTLE, WY 82701-2125
(307) 746-2182
Mailing address
219 W MAIN ST, NEWCASTLE, WY 82701-2125
(307) 746-2182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/21/2019
Last updated
01/16/2024
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