| Unto L.l.c. | |
|
395 Harvey Ln Sheridan WY 82801-9129 | |
| (307) 680-3761 | |
| (307) 429-5654 |
| Full Name | Unto L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 395 Harvey Ln, Sheridan, Wyoming |
| Authorized Official Name and Position | Michelle Renee Parker (PROVIDER) |
| Authorized Official Contact | 3076803761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unto L.l.c. 1590 Sugarland Dr # 161 Sheridan WY 82801-5776 Ph: (307) 752-0221 | Unto L.l.c. 395 Harvey Ln Sheridan WY 82801-9129 Ph: (307) 680-3761 |
| NPI Number | 1477265544 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 8820462609 |
|---|---|
| Medicare Enrollment ID | O20230317000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477265544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043927254 PECOS PAC ID: 5698149474 Enrollment ID: I20230425001360 |
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