Individual
VENESE ANN GRAUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
428 S DURBIN ST STE 104, CASPER, WY 82601-2829
(307) 337-4284
(307) 224-3436
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
(307) 233-6089
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1424
WY
363LW0102X
Women's Health Nurse Practitioner
22078.1425
WY
363LW0102X
Women's Health Nurse Practitioner
95001809
CA
363LX0106X
Occupational Health Nurse Practitioner
1245
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5933529
UNITED HEALTHCARE
WY
Enumeration date
12/12/2014
Last updated
09/15/2020
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