Healthcare Provider Details

I. General information

NPI: 1114104049
Provider Name (Legal Business Name): NANCY IRENE MCGEE APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 HARNEY ST STE 202
LARAMIE WY
82072-2899
US

IV. Provider business mailing address

1174 N 22ND ST
LARAMIE WY
82072-5401
US

V. Phone/Fax

Practice location:
  • Phone: 307-766-3313
  • Fax: 307-766-3316
Mailing address:
  • Phone: 307-766-3313
  • Fax: 307-766-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22579.0945
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: