Individual
DAVILYN M ROESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Mailing address
1911 THORNBURGH DR, LARAMIE, WY 82070-4326
(307) 745-8997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19914
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19914
STATE
WY
Enumeration date
09/30/2011
Last updated
09/30/2011
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