Individual
MS. ASHLEY LYNN BOSTYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, ACAGNP-BC
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(877) 205-2024
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(877) 205-2024
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
50957
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218868600
—
WY
Enumeration date
08/02/2019
Last updated
03/19/2024
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