Organization
POPO AGIE WOMEN'S CLINIC, INC
Active
Other names
Popo Agie Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH C ZEBROSKI WHNP-C (PRESIDENT)
(307) 332-2223
Entity
Organization
Contact information
Practice address
1460 MAIN ST, LANDER, WY 82520-2657
(307) 332-2223
Mailing address
1460 MAIN ST, LANDER, WY 82520-2657
(307) 332-2223
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9192.0137
WY
363LF0000X
Family Nurse Practitioner
9192.0137
WY
363LW0102X
Women's Health Nurse Practitioner
9192.0137
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116652200
—
WY
Enumeration date
03/06/2007
Last updated
03/05/2009
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