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NPI Code Detail

MEDICARE: MRS. MARY BATCHELDER COX APRN BC

MEDICARE: MRS. MARY BATCHELDER COX APRN BC
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
1163W00000XRegistered Nurse53595CO
2363LG0600XGerontology Nurse Practitioner0101WY
3363LP0808XPsychiatric/Mental Health Nurse Practitioner8418.0101WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19542OTHERWYBS

General Provider Information

NPI Number : 1316945447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY BATCHELDER COX APRN BC
Provider Business Mailing Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number : 307-638-8256
Provider Business Practice Location Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number : 307-638-8256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/05/2017

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