THERESA LERCH C FNP CNM PC NPI 1437335866

NPI Information

NPI: 1437335866
Provider Name: THERESA LERCH C FNP CNM PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 53D2234225

Address:
320 E BROADWAY
SUITE 1C
JACKSON, WY
ZIP 83001
Phone: (307) 733-4585
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THERESA LERCH C FNP CNM PC is a family nurse practitioner in Jackson, WY. THERESA LERCH C FNP CNM PC NPI is 1437335866. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 E BROADWAY
SUITE 1C
JACKSON, WY
ZIP 83001
Phone: (307) 733-4585
Fax: (307) 733-4787

The provider's authorized official is Theresa Lerch .
The authorized official title is President and has the following contact phone number (307) 733-4585.

The CLIA number assigned to this NPI record is 53D2234225 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 12/3/2008.

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	367A00000X	Advanced Practice Midwife		18054.0164	WYOMING	No
2	363LF0000X	Nurse Practitioner	Family	18054.0164	WYOMING	Yes

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

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