FAMILY FIRST HEALTH PC NPI 1093002412

NPI Information

NPI: 1093002412
Provider Name: FAMILY FIRST HEALTH PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
555 E BROADWAY AVE
STE 218
JACKSON, WY
ZIP 83001
Phone: (307) 201-1696
Get Directions

FAMILY FIRST HEALTH PC is a family nurse practitioner in Jackson, WY. FAMILY FIRST HEALTH PC NPI is 1093002412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 E BROADWAY AVE
STE 218
JACKSON, WY
ZIP 83001-640
Phone: (307) 201-1696

The provider's authorized official is Martha J Mason .
The authorized official title is President and has the following contact phone number (307) 201-1696.

The enumeration date for this NPI number is 7/6/2011 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	263300970	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W24204	OTHER	WYOMING	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »