Individual
HERLLY YOHANNA CAMACHO BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4140 S POPLAR ST, CASPER, WY 82601-6104
(307) 235-4143
Mailing address
1919 CENTRAL AVE, CHEYENNE, WY 82001-3742
(307) 514-9888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9428927
FL
Other
Enumeration date
12/11/2017
Last updated
04/15/2026
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