NPI 1134954845

Kristina Green, PEERSPECIALIST

Practitioner Peer Specialist Lusk, WY

Practice location

Address: 905 S Main St, Lusk, WY 82225-5208
Phone: (307) 334-3666
Mailing address: PO Box 1365, Lusk, WY 82225-1365

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1134954845
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2024
Record last updated: 3 Sep 2024

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.