Central Wyoming Housecalls, LLC

Organization Active NPI Preferred Provider Organization · Lander, WY

NPI 1396216461 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1396216461
Entity type
Organization (NPI type 2)
Primary specialty
Preferred Provider Organization 305R00000X
Legal business name
CENTRAL WYOMING HOUSECALLS, LLC
Practice address
804 Garner Dr
Lander, WY 82520-3512
Phone
(307) 714-1685
Fax
(307) 335-8873
NPI assigned
Dec 16, 2018
Organization subpart
No

Authorized official

Name
Martha M Mueller, FNP-BC
Title
Owner/Provider
Phone
(307) 714-1685

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Yes

Addresses

Primary practice location

804 Garner Dr
Lander, WY 82520-3512

Mailing address

804 Garner Dr
Lander, WY 82520-3512
Phone (307) 714-1685

Other providers in Lander, WY

All providers in Lander, WY · Preferred Provider Organization in Wyoming

Sources for this page

Verify at the official NPI Registry.