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General NPI Number Information
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NPI Number | 1194604660
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Entity Type | Organization
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Legal Business Name | ARTISTRY MED SPA & AESTHETICS
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 705 E WASHINGTON AVE BSMT STE
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City | RIVERTON
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State | WY
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Zip | 82501-4452
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Country | US
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Telephone | 307-851-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 705 E WASHINGTON AVE BSMT STE
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City | RIVERTON
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State | WY
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Zip | 82501-4452
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Country | US
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Telephone | 307-851-7969
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | RENEE RAE LAWSON
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Credential | RN
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Telephone | 307-851-7969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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