Healthcare Provider Details

I. General information

NPI: 1679142251
Provider Name (Legal Business Name): HEIDI MARCH MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2021
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 SKYLINE RD # 201
LARAMIE WY
82070-8909
US

IV. Provider business mailing address

605 SKYLINE RD # 201
LARAMIE WY
82070-8909
US

V. Phone/Fax

Practice location:
  • Phone: 307-745-5364
  • Fax:
Mailing address:
  • Phone: 307-745-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number47991
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: