Individual
CHARLENE J MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 S GOULD ST, SHERIDAN, WY 82801-6321
(307) 673-8701
(307) 224-2293
Mailing address
PO BOX 5087, SHERIDAN, WY 82801-1387
(307) 763-8701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20009
WY
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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