NPI 1063457893

Matthew Mullinix, CRNA

Practitioner Certified Registered Nurse Anesthetist Riverton, WY

Practice location

Address: 2100 W Sunset Dr, Riverton, WY 82501-2274
Phone: (800) 967-1646
Fax: (317) 567-2191
Mailing address: PO Box 32103, Billings, MT 59107-2103

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 22560.355 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Registry record

NPI: 1063457893
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2006
Record last updated: 25 Nov 2009

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.