Sheridan Family Practice, P.c. | |
1435 Burton St Sheridan WY 82801-2723 | |
(307) 672-0763 | |
(307) 672-0766 |
Full Name | Sheridan Family Practice, P.c. |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 1435 Burton St, Sheridan, Wyoming |
Authorized Official Name and Position | Susan J Snyder (OWNER) |
Authorized Official Contact | 3076720763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sheridan Family Practice, P.c. 1435 Burton St Sheridan WY 82801-2723 Ph: (307) 672-0763 | Sheridan Family Practice, P.c. 1435 Burton St Sheridan WY 82801-2723 Ph: (307) 672-0763 |
NPI Number | 1154420768 |
---|---|
Provider Enumeration Date | 09/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154420768 | NPI | - | NPPES |
305501 | Other | WY | BCBS |
313086 | Other | WY | BCBS |
1201867001 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4286A (Wyoming) | Primary |
363LF0000X | Nurse Practitioner - Family | 15246.316 (Wyoming) | Primary |
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