Individual
MRS. LAURIE JEAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
24 MILLER ROAD, GUERNSEY, WY 82214-0902
(307) 331-4256
Mailing address
PO BOX 902, GUERNSEY, WY 82214-0902
(307) 331-4256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12870
WY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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