Healthcare Provider Details

I. General information

NPI: 1801750856
Provider Name (Legal Business Name): MONIQUE BJORNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 1ST ST
CASPER WY
82601-2516
US

IV. Provider business mailing address

3240 S POPLAR ST
CASPER WY
82601-5322
US

V. Phone/Fax

Practice location:
  • Phone: 866-678-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number59246
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: