Healthcare Provider Details

I. General information

NPI: 1932014339
Provider Name (Legal Business Name): WOUND & SKIN CARE OF WYOMING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 E 2ND ST
CASPER WY
82601-2903
US

IV. Provider business mailing address

1129 E 2ND ST
CASPER WY
82601-2903
US

V. Phone/Fax

Practice location:
  • Phone: 307-296-9399
  • Fax: 307-333-0299
Mailing address:
  • Phone: 307-296-9399
  • Fax: 307-333-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LAIRD-ROGERS
Title or Position: CEO
Credential: FNP-C
Phone: 307-296-9399