Individual
AMANDA KAY DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633
(307) 358-7300
Mailing address
623 HARRISON ST, DOUGLAS, WY 82633-2739
(307) 338-0273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44725
WY
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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