NPI 1063491892

Joann Bourlier-Childress, PAC

Practitioner Physician Assistant Cheyenne, WY

Practice location

Address: 214 E 23rd St, Cheyenne, WY 82001-3748
Phone: (307) 634-2273

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 463 (WY)

Other Physician Assistant providers in Wyoming →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence NE692 (NE)

Registry record

NPI: 1063491892
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2006
Record last updated: 13 Jan 2010

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.