Individual
GLORIA STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
302 DINWIDDIE RD, LARAMIE, WY 82070-9768
(307) 745-0517
(307) 314-0060
Mailing address
302 DINWIDDIE RD, LARAMIE, WY 82070-9768
(307) 745-0517
(307) 314-0060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10494.0283
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12212800
—
WY
Enumeration date
10/13/2006
Last updated
09/29/2020
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