POPO AGIE WOMEN'S CLINIC INC NPI 1871623124

NPI Information

NPI: 1871623124
Provider Name: POPO AGIE WOMEN'S CLINIC, INC
Classification: Nurse Practitioner - 363LA2200X
Specialization: Adult Health
Entity Type: Organization
Former Legal Business Name: POPO AGIE WOMEN'S CLINIC
Address: 1460 MAIN ST
LANDER, WY
ZIP 82520
Phone: (307) 332-2223

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NPI Details

POPO AGIE WOMEN'S CLINIC, INC is an adult health nurse practitioner in Lander, WY. POPO AGIE WOMEN'S CLINIC, INC NPI is 1871623124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Popo Agie Women's Clinic.

The provider's business location address is:

1460 MAIN ST
LANDER, WY
ZIP 82520-657
Phone: (307) 332-2223

The provider's authorized official is Ruth C Zebroski .
The authorized official title is President and has the following contact phone number (307) 332-2223.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 3/5/2009.

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	9192.0137	WYOMING	No
2	363LW0102X	Nurse Practitioner	Women's Health	9192.0137	WYOMING	No
3	363LA2200X	Nurse Practitioner	Adult Health	9192.0137	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	309073	MEDICARE ID-TYPE UNSPECIFIED	WYOMING	GROUP NUMBERS
2	116652200	MEDICAID	WYOMING
3	W22371	MEDICARE PIN	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: 3/30/2025

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