Individual
TRACY L WASSERBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-2250
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-2250
(307) 688-1420
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
120211001
WY
363LN0005X
Critical Care Neonatal Nurse Practitioner
120211001
WY
363LP0200X
Pediatric Nurse Practitioner
120211001
WY
Other
Enumeration date
11/10/2009
Last updated
01/11/2021
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