Individual
LISA WESTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1174 N 22ND ST, LARAMIE, WY 82072-5401
(307) 766-3313
Mailing address
1174 N 22ND ST, LARAMIE, WY 82072-5401
(307) 766-3313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45463
WY
363LF0000X
Family Nurse Practitioner
6948805-4405
UT
Other
Enumeration date
06/22/2016
Last updated
08/31/2022
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