INSTACARE CENTER OF WYOMING - WEST INC NPI 1053877654

NPI Information

NPI: 1053877654
Provider Name: INSTACARE CENTER OF WYOMING - WEST, INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 53D0875838

Address:
900 CY AVE
CASPER, WY
ZIP 82601
Phone: (307) 266-1719
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INSTACARE CENTER OF WYOMING - WEST, INC is a psychiatric/mental health nurse practitioner in Casper, WY. INSTACARE CENTER OF WYOMING - WEST, INC NPI is 1053877654. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 CY AVE
CASPER, WY
ZIP 82601-174
Phone: (307) 266-1719
Fax: (307) 472-7150

The provider's authorized official is Nicolette Hanson .
The authorized official title is Director and has the following contact phone number (307) 266-1719.

The CLIA number assigned to this NPI record is 53D0875838 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 7/2/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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	1134694383	MEDICAID	WYOMING

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

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