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NPI Code Detail

MEDICARE: KATHERINE J SANNE APRN

MEDICARE:   KATHERINE J SANNE  APRN
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 Practitioner31824.1241WY

General Provider Information

NPI Number : 1639431844
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE J SANNE APRN
Provider Business Mailing Address
First Line : 307 W LINCOLNWAY
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-4437
Country : US
Telephone Number : 307-630-4191
Fax Number : 307-312-5811
Provider Business Practice Location Address
First Line : 307 W LINCOLNWAY
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-4437
Country : US
Telephone Number : 307-630-4191
Fax Number : 307-312-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 10/22/2025

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Directions to “ KATHERINE J SANNE APRN” Practice Location

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