Organization
WYOMING WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY RENE' RICHARD CRNA / APRN (OWNER / PROVIDER)
(307) 532-3035
Entity
Organization
Contact information
Practice address
601 NIOBRARA AVE, TORRINGTON, WY 82240-1522
(307) 532-3035
(307) 275-9533
Mailing address
601 NIOBRARA AVE, TORRINGTON, WY 82240-1522
(307) 532-3035
(307) 275-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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