Individual
RUSTIN MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1115 LANE 12, LOVELL, WY 82431-9537
(307) 548-5200
(307) 548-5678
Mailing address
1115 LANE 12, LOVELL, WY 82431-9537
(307) 548-5200
(307) 548-5678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52597
WY
Other
Enumeration date
06/05/2023
Last updated
07/03/2025
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