NPI 1083697064

Corey Lynn Ernst, PAC

Practitioner Physician Assistant Cheyenne, WY

Practice location

Address: 2003 Bluegrass Circle, Cheyenne, WY 82009
Phone: (307) 634-4357
Fax: (307) 634-7773
Mailing address: 1110 Crescent Dr, Cheyenne, WY 82007-9107

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 187 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1083697064
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2005
Record last updated: 2 Oct 2007

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.