Individual
MR. GREGORY ALLEN SHUTTLEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2025 E 2ND ST, CASPER, WY 82609-2052
(307) 514-9888
Mailing address
2025 E 2ND ST, CASPER, WY 82609-2052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50095
WY
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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