Individual
AMY DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4460
(307) 742-0286
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4460
(307) 742-0286
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53562
WY
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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