Individual
SHANNON L TREPTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2301 HOUSE AVE STE 201, CHEYENNE, WY 82001-3177
(307) 638-7757
(307) 638-8359
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
33695.1315
WY
363L00000X
Nurse Practitioner
4328
WI
363LF0000X
Family Nurse Practitioner
Primary
1315
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33695.1315
LICENSE
WY
Enumeration date
01/12/2011
Last updated
11/03/2022
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