Individual
BRENDA THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14026.1371
WY
Other
Enumeration date
01/26/2015
Last updated
03/17/2023
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