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Individual

WHITNEY FEVOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3700
(307) 688-3717
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-2600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29863.1479
WY
363LF0000X
Family Nurse Practitioner
29863
WY

Other

Enumeration date
12/15/2015
Last updated
11/27/2023
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