Individual
NICOLE PERRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005-2945
(307) 773-6000
Mailing address
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005-2945
(307) 773-6000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1636623
CO
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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