TARA BLUMENSHINE APRN, CNM FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1588026009- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN, CNM FNP
- Status
- Active
Contact & Location
- Address
- 705 E WASHINGTON AVE, RIVERTON, WY, 825014452
- Phone
- (307) 463-0541
- Fax
- (307) 463-0541
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: WY #1505
Advanced Practice Midwife
License: WY #28234-1505