WYOMING NEUROLOGY P.C. NPI 1235282120

NPI Information

  • NPI: 1235282120
  • Provider Name: WYOMING NEUROLOGY P.C.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 2301 HOUSE AVE
    STE 203
    CHEYENNE, WY
    ZIP 82001
  • Phone: (307) 432-0335

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NPI Details

WYOMING NEUROLOGY P.C. is an adult health nurse practitioner in Cheyenne, WY. WYOMING NEUROLOGY P.C. NPI is 1235282120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2301 HOUSE AVE
STE 203
CHEYENNE, WY
ZIP 82001-176
Phone: (307) 432-0335
Fax: (307) 432-0341

The provider's authorized official is Tracy J Farris .
The authorized official title is Fnp and has the following contact phone number (307) 432-0335.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 6/23/2008.

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
1363LA2200XNurse PractitionerAdult Health159020190WYOMINGYes

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
11156560 01MEDICAIDWYOMING
2S39328MEDICARE UPINWYOMING
320677MEDICARE ID-TYPE UNSPECIFIEDWYOMING

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: 11/21/2025

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