Whalio Doctors

NPI 1326714379

Jaycie Till

Practitioner Nurse's Aide Laramie, WY

Practice location

Address
1174 N 22nd St, Laramie, WY 82072-5401
Phone
(307) 766-3313
Mailing address
107 S Taylor St APT a, Laramie, WY 82070-7120

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 45482 (WY)

Registry record

NPI
1326714379
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Aug 2021
Record last updated
19 Aug 2021

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.