Prosperity Practice Llc | |
107 E Owen Ave Lyman WY 82937-5119 | |
(307) 677-4649 | |
Not Available |
Full Name | Prosperity Practice Llc |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 107 E Owen Ave, Lyman, Wyoming |
Authorized Official Name and Position | Felicia Galvin (OWNER) |
Authorized Official Contact | 3076774649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 |
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 |
Bridger Valley Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 N Main Street, Lyman, WY 82937 Phone: 307-787-3313 Fax: 307-787-3312 | |
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 | |
Bridger Valley Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St, Lyman, WY 82937 Phone: 307-787-3313 |