Healthcare Provider Details

I. General information

NPI: 1013484187
Provider Name (Legal Business Name): NICOLETTE STRAND DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CY AVE
CASPER WY
82601-4174
US

IV. Provider business mailing address

900 CY AVE
CASPER WY
82601-4174
US

V. Phone/Fax

Practice location:
  • Phone: 307-262-9832
  • Fax:
Mailing address:
  • Phone: 307-237-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number32618.1822
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number174707
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61155226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: