Individual
CAROLYN A BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 N 8 MILE RD, CASPER, WY 82604-9620
(307) 259-1076
(307) 333-0221
Mailing address
301 THELMA DR # 422, CASPER, WY 82609-2325
(307) 259-1076
(307) 333-0221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16660
WY
163WH0200X
Home Health Registered Nurse
16660
WY
163WI0500X
Infusion Therapy Registered Nurse
16660
WY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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