Individual
AMANDA GERISE VIGNAROLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP. FNP-BC
Contact information
Practice address
940 E 3RD ST STE 203, CASPER, WY 82601-3251
(307) 577-0465
Mailing address
7220 W RIVERSIDE DR, CASPER, WY 82604-9296
(307) 258-3222
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26262.1727
WY
Other
Enumeration date
03/31/2018
Last updated
08/13/2020
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