NPI 1043105638

Lush Medical Aesthetics

Organisation Family Nurse Practitioner Cheyenne, WY

Practice location

Address: 307 W Lincolnway, Cheyenne, WY 82001-4437
Phone: (307) 630-4191
Mailing address: 7536 Telluride Dr, Cheyenne, WY 82009-8921

Authorised official

Name: Katherine Sanne
Title: Owner
Phone: (406) 560-0878

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1043105638
Entity type: Organization
NPI issued: 12 Jun 2025
Record last updated: 12 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.