NPI 1104169945

Ekstroms Nursing, LLC

Organisation Skilled Nursing Facility Gillette, WY

Practice location

Address: 111 Lewis Rd, Gillette, WY 82718-8847
Phone: (605) 390-8970

Authorised official

Name: Brooke Lee Ekstrom
Title: Registered Nurse
Phone: (605) 390-8970

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 28967 (WY)

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Registry record

NPI: 1104169945
Entity type: Organization
NPI issued: 29 Mar 2013
Record last updated: 29 Mar 2013

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.