Healthcare Provider Details

I. General information

NPI: 1215881024
Provider Name (Legal Business Name): MORGAN CHERIE BUNDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2372 SAGEWOOD AVE
CASPER WY
82601-5018
US

IV. Provider business mailing address

2372 SAGEWOOD AVE
CASPER WY
82601-5018
US

V. Phone/Fax

Practice location:
  • Phone: 307-797-5829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number47090
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: