Individual
MRS. ANITA CAROLYN DESELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1202 CLEVELAND AVE, CHEYENNE, WY 82001-6700
(307) 632-6403
(307) 632-6426
Mailing address
1202 CLEVELAND AVE, CHEYENNE, WY 82001-6700
(307) 632-6403
(307) 632-6426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100460992
WY
Other
Enumeration date
08/18/2009
Last updated
04/21/2015
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