Jill Marion Calder, RN
Individual provider Active NPI Registered Nurse · Lander, WY
NPI 1679895262 · NPPES record last updated Feb 23, 2010
Key facts
- NPI
- 1679895262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 19751 (WY)
- Practice address
- 21 Appaloosa LN
Lander, WY 82520-9750 - Phone
- (307) 332-0228
- Fax
- (307) 332-0131
- NPI assigned
- Feb 23, 2010
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19751 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 19751 | WY | Yes |
Addresses
Primary practice location
21 Appaloosa LN
Lander, WY 82520-9750
Mailing address
21 Appaloose Lane
Lander, WY 82520-0000
Phone (307) 332-0228
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2010. 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.