Individual
TARA BLUMENSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM FNP
Contact information
Practice address
705 E WASHINGTON AVE, RIVERTON, WY 82501-4452
(307) 463-0541
(307) 463-0541
Mailing address
705 E WASHINGTON AVE, RIVERTON, WY 82501-4452
(307) 463-0541
(307) 630-5414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1505
WY
367A00000X
Advanced Practice Midwife
28234-1505
WY
Other
Enumeration date
03/23/2016
Last updated
08/26/2024
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