Raechyl M Dunnuck
Individual provider Active NPI Registered Nurse · Evansville, WY
NPI 1346018975 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1346018975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28408 (WY)
- Practice address
- 11090 E Wagon Trail Rd
Evansville, WY 82636-9678 - Phone
- (307) 247-7090
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28408 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28408 | WY | Yes |
Addresses
Primary practice location
11090 E Wagon Trail Rd
Evansville, WY 82636-9678
Mailing address
11090 E Wagon Trail Rd
Evansville, WY 82636-9678
Phone (307) 247-7090
Other providers in Evansville, WY
- Campbell and Crew LLC
- Melissa Campbell
- Troy Matthew Campbell
- Wendy Cheek
- Melinda Grace Doyle
- Kelly Suzanne Fleck
- Aunkia Christina Fowler
- Sheila Frisby
- Jennifer Anne Gallagher
- Sarah Gillham
All providers in Evansville, WY · Registered Nurse in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.