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General NPI Number Information
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NPI Number | 1457205544
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Entity Type | Organization
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Legal Business Name | BOKBH
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 800 WERNER CT STE 125
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City | CASPER
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State | WY
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Zip | 82601-1323
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Country | US
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Telephone | 307-556-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 SUNSET BLVD
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City | BAR NUNN
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State | WY
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Zip | 82601-7414
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Country | US
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Telephone | 307-556-1097
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | MRS. KRISTINA MARIE GRAY
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Credential | DNP PMHNP
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Telephone | 307-262-5879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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