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Individual

MRS. AMY BESS WHINNERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
202
WY
363AS0400X
Surgical Physician Assistant
202
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124977100
WY
01
314778
BLUE SHIELD
WY
Enumeration date
09/21/2005
Last updated
08/27/2012
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