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Individual

MS. STACY RENEE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
520 WILKES DR STE 13, GREEN RIVER, WY 82935-4854
(307) 212-6242
(307) 212-2246
Mailing address
520 WILKES DR STE 13, GREEN RIVER, WY 82935-4854
(307) 212-6862
(307) 212-2246

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18512.1248
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
842269506
WY
Enumeration date
06/11/2013
Last updated
06/10/2025
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