NPI 1184800674

Willow Creek Family Medicine, P.C.

Organisation Family Nurse Practitioner Cheyenne, WY

Practice location

Address: 4003 Rawlins St., Cheyenne, WY 82001-1800
Phone: (307) 638-8975
Fax: (307) 634-9267
Mailing address: 4003 Rawlins St, Cheyenne, WY 82001-1800

Authorised official

Name: Diane E Hattel
Title: Owner
Phone: (307) 638-8975

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 16129.0890 (WY)

Other Nurse Practitioner providers in Wyoming →

Registry record

NPI: 1184800674
Entity type: Organization
NPI issued: 14 Jan 2008
Record last updated: 14 Mar 2012

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.