Healthcare Provider Details
I. General information
NPI: 1770521726
Provider Name (Legal Business Name): ESTHER ANN GILMAN-KEHRER APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2006
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2152 N 22ND ST UNIT A
LARAMIE WY
82072-1965
US
IV. Provider business mailing address
1252 N 22ND ST UNIT A
LARAMIE WY
82072-5306
US
V. Phone/Fax
- Phone: 307-745-5364
- Fax: 307-745-4164
- Phone: 307-745-5364
- Fax: 307-745-4164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 13295232 |
| License Number State | WY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 170002 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 13295.232 |
| License Number State | WY |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 13295.232 |
| License Number State | WY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: