Individual
TERA YANCHUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E WOLCOTT ST, NEWCASTLE, WY 82701-2203
(303) 547-6362
Mailing address
725 WASHINGTON BLVD, NEWCASTLE, WY 82701-2930
(307) 746-3553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51731
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110709-532
DIVER LICENSE
WY
Enumeration date
02/27/2023
Last updated
02/27/2023
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