Individual
CARRIE L HABERKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11958 TONTO RD, CHEYENNE, WY 82009-8696
(307) 701-0648
Mailing address
11958 TONTO RD, CHEYENNE, WY 82009-8696
(307) 701-0648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22705
WY
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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