WYOMING NEUROLOGY P.C.
Nursing at House Ave, Cheyenne, WY

License number
Wyoming 159020190
Category
Nursing
Type
Adult Health
Owner
Name: TRACY J FARRIS FNP
Title: FNP
Phone: (307) 432-0335
Address
Address
2301 House Ave STE 203, Cheyenne, WY 82001
National Provider ID: 1235282120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WYOMING NEUROLOGY P.C. at bizstanding.com

Wyoming Neurology, PC

Cheyenne, WY

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Feb 13, 2003
Inactive since:
Apr 12, 2013
Phone:
(307) 432-0335 (Phone)
Addresses:
2301 House Ave STE 203, Cheyenne, WY 82001 (Physical)
314 W 18 St, Cheyenne, WY 82001 (Mailing)
State ID:
2003-000446595
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Medical Doctor, Neurologys:
Amber Haynes (Medical Assistant),Prabhu D. Emmady (Medical Doctor, Neurology),Michael Alebizon (Office Manager),...

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