JESSE STARK MORSE BRADY CNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1205492584- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNP
- Status
- Active
Contact & Location
- Address
- 815 E MAIN ST, LANDER, WY, 825203491
- Phone
- (307) 332-9720
- Fax
- (307) 332-8206
Specialties & Taxonomies
Registered Nurse
License: WY #34354
Nurse Practitioner
Primary License: WY #44515