Individual
MICHAELA RANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1050 N 3RD ST STE F, LARAMIE, WY 82072-2538
(307) 460-3526
Mailing address
1671 COUGHLIN ST, LARAMIE, WY 82072-2321
(307) 460-3526
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619316635
—
WY
Enumeration date
06/24/2013
Last updated
05/24/2022
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