Healthcare Provider Details

I. General information

NPI: 1932099272
Provider Name (Legal Business Name): PAULA LYNNE MARKOWSKI BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 GASSER RD
RIVERTON WY
82501-2350
US

IV. Provider business mailing address

1301 GASSER RD
RIVERTON WY
82501-2350
US

V. Phone/Fax

Practice location:
  • Phone: 307-851-4235
  • Fax:
Mailing address:
  • Phone: 307-851-4235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number21544
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: