Individual
MRS. CARLY JANE WASSERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2862 ARDON LN, CASPER, WY 82609-3900
(307) 249-3543
(904) 748-2569
Mailing address
2862 ARDON LN, CASPER, WY 82609-3900
(307) 249-3543
(904) 748-2569
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53202
WY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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