Healthcare Provider Details

I. General information

NPI: 1740114875
Provider Name (Legal Business Name): CONNOR NOTMAN PARAMEDIC,FP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 LANE 12
LOVELL WY
82431-9537
US

IV. Provider business mailing address

722 S 15TH ST
WORLAND WY
82401-4107
US

V. Phone/Fax

Practice location:
  • Phone: 307-548-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number108909
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: