Individual
MS. PATRICIA MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 2ND ST, WILSON, WY 83014-9155
(208) 243-4454
Mailing address
1380 2ND ST, WILSON, WY 83014-9155
(208) 243-4454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
24022
WY
163W00000X
Registered Nurse
N35323
ID
163W00000X
Registered Nurse
Primary
TL793562
CA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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