Individual
ADRIENNE MARYE BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7670
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26215.1420
WY
Other
Enumeration date
08/03/2015
Last updated
09/08/2015
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