MEDICARE: MOLLY NAFZIGER FNP

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
1	363L00000X	Nurse Practitioner	58812	WY

General Provider Information

NPI Number	:	1467117739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY NAFZIGER FNP

Provider Business Mailing Address
First Line	:	156 WHITE TAIL CT
Second Line	:
City	:	BUFFALO
State	:	WY
Zip	:	82834-1418
Country	:	US
Telephone Number	:	605-295-0806
Fax Number	:

Provider Business Practice Location Address
First Line	:	496 FORT ST
Second Line	:
City	:	BUFFALO
State	:	WY
Zip	:	82834-1806
Country	:	US
Telephone Number	:	307-278-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	05/30/2026

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