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Individual

DR. CRISTY LEANN HALL-EDERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
5890 E 2ND ST, CASPER, WY 82609-4308
(307) 337-4058
Mailing address
2474 ROAD 218, CHEYENNE, WY 82009-9149
(405) 888-9992

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
40548-1655
WY
363LF0000X
Family Nurse Practitioner
5010868
NC
363LF0000X
Family Nurse Practitioner
APN.0993097-NP
CO

Other

Enumeration date
10/10/2017
Last updated
02/11/2019
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