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NPI Code Detail

MEDICARE: MRS. EMILY ANNE WIMSATT RN

MEDICARE:  MRS. EMILY ANNE WIMSATT  RN
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
1163WC0200XCritical Care Medicine Registered Nurse51124WY
2163WE0003XEmergency Registered Nurse51124WY
3163WX0003XInpatient Obstetric Registered Nurse51124WY
4163WM0705XMedical-Surgical Registered Nurse51124WY

General Provider Information

NPI Number : 1972377059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY ANNE WIMSATT RN
Provider Business Mailing Address
First Line : 1563 CEDAR AVE
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-5434
Country : US
Telephone Number : 605-377-7327
Fax Number :
Provider Business Practice Location Address
First Line : 1563 CEDAR AVE
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-5434
Country : US
Telephone Number : 605-377-7327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2023
Last Update Date : 11/09/2023

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Directions to “ MRS. EMILY ANNE WIMSATT RN” Practice Location

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