Healthcare Provider Details

I. General information

NPI: 1487573093
Provider Name (Legal Business Name): 307 FAMILY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 N MYSTERY BRIDGE RD
EVANSVILLE WY
82636-9776
US

IV. Provider business mailing address

PO BOX 51007
CASPER WY
82605-1007
US

V. Phone/Fax

Practice location:
  • Phone: 307-267-9779
  • Fax:
Mailing address:
  • Phone: 307-267-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANY SEDMAK
Title or Position: FNP-C
Credential: APRN, FNP-C
Phone: 307-267-9779