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ELIZABETH SMITH DANNEWALD APRN, AGPCNP-BC

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1669949590
Provider Type
Individual Provider (NPI-1)
Credentials
APRN, AGPCNP-BC
Status
Active

Contact & Location

Address
625 E BROADWAY AVE, JACKSON, WY, 83001
Phone
(307) 739-6195
Fax
(307) 739-7229

Specialties & Taxonomies

Nurse Practitioner, Adult Health License: WY #44970
Nurse Practitioner, Gerontology License: WY #44970
Nurse Practitioner Primary License: WY #44970

All Addresses

MAILING

PO BOX 428

JACKSON, WY, 830010428

(307) 739-6195

LOCATION

625 E BROADWAY AVE

JACKSON, WY, 83001

(307) 739-6195