Organization
ANOVA MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYLOH BLUEMEL FNP-C (MANAGER)
(307) 461-0845
Entity
Organization
Contact information
Practice address
1415 N MAIN ST, SHERIDAN, WY 82801-2629
(307) 752-1849
Mailing address
1125 LEOPARD ST, SHERIDAN, WY 82801-4627
(307) 752-1849
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/24/2024
Last updated
04/03/2025
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