MEDICARE: TARA BLUMENSHINE APRN, CNM 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	363LF0000X	Family Nurse Practitioner	1505	WY
2	367A00000X	Advanced Practice Midwife	28234-1505	WY

General Provider Information

NPI Number	:	1588026009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA BLUMENSHINE APRN, CNM FNP

Provider Business Mailing Address
First Line	:	705 E WASHINGTON AVE
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-4452
Country	:	US
Telephone Number	:	307-463-0541
Fax Number	:	307-630-5414

Provider Business Practice Location Address
First Line	:	705 E WASHINGTON AVE
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-4452
Country	:	US
Telephone Number	:	307-463-0541
Fax Number	:	307-463-0541

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

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	08/26/2024

Similar Medicare Providers

1750378980 — RALPH E HOPKINS MD PC
Practice Location Address:

705 E WASHINGTON AVE
RIVERTON, WY
82501-4452

Practice Phone: 307-856-5758
Practice Fax: 307-856-5759

1669089652 — ENEDINA VASCO ENEDINA VASCO DNP
Practice Location Address:

705 E WASHINGTON AVE
RIVERTON, WY
82501-4452

Practice Phone: 307-463-0541
Practice Fax:

1225722879 — DAWN MARIE DUBEAU PMHNP-BC
Practice Location Address:

705 E WASHINGTON AVE
RIVERTON, WY
82501-4452

Practice Phone: 307-463-0541
Practice Fax: 307-463-0494

1194604660 — ARTISTRY MED SPA & AESTHETICS
Practice Location Address:

705 E WASHINGTON AVE BSMT STE
RIVERTON, WY
82501-4452

Practice Phone: 307-851-7969
Practice Fax:

1093447021 — HOMETOWN FREEDOM HEALTHCARE, LLC
Practice Location Address:

103 N 5TH ST E
RIVERTON, WY
82501-4402

Practice Phone: 307-463-0541
Practice Fax: 307-463-0494

1881524460 — VIRGINIA MARIE SARGENT
Practice Location Address:

1005 COLLEGE VIEW DR
RIVERTON, WY
82501-2289

Practice Phone: 307-857-3488
Practice Fax:

Directions to “ TARA BLUMENSHINE APRN, CNM FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.