Prosperity Practice Llc | |
107 E Owen Ave Lyman WY 82937-5119 | |
(307) 677-4649 | |
Not Available |
Full Name | Prosperity Practice Llc |
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Speciality | Nurse Practitioner |
Location | 107 E Owen Ave, Lyman, Wyoming |
Authorized Official Name and Position | Felicia Galvin (OWNER) |
Authorized Official Contact | 3076774649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prosperity Practice Llc Po Box 1322 Lyman WY 82937-1322 Ph: (307) 677-4649 | Prosperity Practice Llc 107 E Owen Ave Lyman WY 82937-5119 Ph: (307) 677-4649 |
NPI Number | 1396570875 |
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Provider Enumeration Date | 09/04/2024 |
Last Update Date | 09/04/2024 |
Medicare PECOS PAC ID | 9133651557 |
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Medicare Enrollment ID | O20241010000793 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396570875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Felicia Galvin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750084521 PECOS PAC ID: 5890156533 Enrollment ID: I20241015002590 |
Evanston Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St., Lyman, WY 82937 Phone: 307-787-3313 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Mountain St, Lyman, WY 82937 Phone: 307-789-4224 | |