Organization
MEADOWLARK MIND & BODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA COLE BSHA (DIRECTOR OF PROVIDER SERVICES)
(402) 898-1113
Entity
Organization
Contact information
Practice address
913 CENTER ST STE 1, EVANSTON, WY 82930-3400
(307) 300-5885
Mailing address
913 CENTER ST STE 1, EVANSTON, WY 82930-3400
(307) 300-5885
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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