Whalio Doctors

NPI 1598274052

Jennifer K Larson, CNM

Practitioner Obstetrics & Gynecology Physician Gillette, WY

Practice location

Address
1414 W 4th St, Gillette, WY 82716-3328
Phone
(307) 682-6263
Fax
(307) 682-2024

Registered specialties (2)

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 21839.1370 (WY)
Midwife
Other Service Providers Taxonomy 176B00000X Licence 21839.1370 (WY)

Registry record

NPI
1598274052
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Sep 2017
Record last updated
21 Jul 2022

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.