Ms Mary Elizabeth Coffeen-carley, FNP-C | |
831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 | |
(307) 789-3464 | |
(307) 789-7213 |
Full Name | Ms Mary Elizabeth Coffeen-carley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 831 St. Highway, 150 South, Evanston, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598868689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2000157041 (Missouri) | Primary |
Entity Name | State Of Wyoming |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Elizabeth Coffeen-carley, FNP-C Po Box 1728, Evanston, WY 82931-1728 Ph: (386) 697-9279 | Ms Mary Elizabeth Coffeen-carley, FNP-C 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 Ph: (307) 789-3464 |
Mr. James David Benson, AGNP-BC, PHD, HFA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Kimberly Anne Begalla, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 Phone: 307-789-6111 Fax: 307-789-7111 | |
Brandon Jaggi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Center St Ste 1, Evanston, WY 82930 Phone: 307-300-5885 | |
Bailey Jensen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-8721 Fax: 307-789-8664 | |
Mikale Natasha Nowak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 | |
Felicia Renee Galvin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Yellow Creek Rd, Evanston, WY 82930 Phone: 307-789-2899 |