Patricia Declue, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8949.317 Issued in WY

Practice address

1460 Main St
Lander, WY 82520-2657

Phone

(307) 332-2223

NPI assigned

Jun 1, 2006

Last updated

Jun 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacques D. Beveridge MD, Inc.

  • Obstetrics & Gynecology Physician
  • Lander, WY
  • NPI 1114057080
  NPD (past)
• Popo Agie Women's Clinic, Inc

  • Adult Health Nurse Practitioner
  • Lander, WY
  • NPI 1871623124

  Family

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1467499244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-2941",
            "fax_number": "307-332-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202657",
            "telephone_number": "307-332-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLUE",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "8949.317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120173500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia B Stevens, MD, PC
• Carol Jean Darlington, R.PH.
• Robert L Darr, PA-C
• John David Davis, LAT
• Kari Theresa Day, MSCP, LPC, NCC
• Dentures & Dental Care of Lander, LLC (Lander Family Dental Center)
• Cindy Donahue, OTR/L
• Maureen Donohoue, L. AC.
• Celeste Douglas
• Edward Arthur Dowie, P.A.-C.

• Family Nurse Practitioner in Lander, WY
• Providers in Lander, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.