NPI 1104104777

Jesus Tachiquin-Frias, RN

Practitioner Registered Nurse Laramie, WY

Practice location

Address: 1263 N 15th St, Laramie, WY 82072-2343
Phone: (307) 745-8915

Registered specialties (2)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 25440 (WY)

Other Registered Nurse providers in Wyoming →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1104104777
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2011
Record last updated: 1 Feb 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.