IAN BARWELL
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1235889601- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4585 FISHING CLUB DR, JACKSON, WY, 830010015
- Phone
- (307) 690-2609
Specialties & Taxonomies
Registered Nurse
Primary License: WY #34226
All Addresses
MAILING
1955 W BUNK HOUSE DR
JACKSON, WY, 830019117