Individual
CARMEN CHAMPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
397 S 5TH, LANDER, WY 82520
(970) 402-2479
Mailing address
397 S 5TH, LANDER, WY 82520
(970) 402-2479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1627666
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105726000
—
WY
Enumeration date
09/25/2014
Last updated
09/25/2014
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