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SUZAN TAMESHA EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
507 VENTURA AVE, GILLETTE, WY 82716-2292
Mailing address
507 VENTURA AVE, GILLETTE, WY 82716-2292
(754) 235-7190

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
48988
WY
363LF0000X
Family Nurse Practitioner
Primary
48988
WY

Other

Enumeration date
04/04/2019
Last updated
11/06/2023
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