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NPI Code Detail

MEDICARE: BARBARA WELLMAN FNP-C

MEDICARE: BARBARA WELLMAN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024165430VA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner30348.1159WY

General Provider Information

NPI Number : 1306076112
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA WELLMAN FNP-C
Provider Business Mailing Address
First Line : 748 MAIN ST
Second Line :
City : LANDER
State : WY
Zip : 82520-3036
Country : US
Telephone Number : 307-332-2231
Fax Number :
Provider Business Practice Location Address
First Line : 748 MAIN ST
Second Line :
City : LANDER
State : WY
Zip : 82520-3036
Country : US
Telephone Number : 307-332-2231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2009
Last Update Date : 08/15/2014

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Directions to “ BARBARA WELLMAN FNP-C” Practice Location

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