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Individual

MRS. DONNA M NURSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1300 EAST A STREET, STE 201, CASPER, WY 82601-2252
(307) 235-3333
(307) 266-5155
Mailing address
1300 E A ST STE 201, CASPER, WY 82601-2252
(307) 235-3333
(307) 266-5155

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13302 248
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124143500
WY
01
311578
BLUE CROSS BLUE SHIELD
WY
Enumeration date
10/24/2006
Last updated
12/23/2013
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