Individual
AMY M MEGASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
Mailing address
1721 APPALOOSA DR, CHEYENNE, WY 82001-6490
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
21294
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313337
BS
WY
Enumeration date
12/14/2005
Last updated
07/08/2007
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