Individual
NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
4111 RANGEVIEW DR, CHEYENNE, WY 82001-2252
(307) 421-4259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50594
WY
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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