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NPI Code Detail

MEDICARE: ARTISTRY MED SPA & AESTHETICS

MEDICARE: ARTISTRY MED SPA & AESTHETICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364S00000XClinical Nurse Specialist

General Provider Information

NPI Number : 1194604660
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTISTRY MED SPA & AESTHETICS
Provider Business Mailing Address
First Line : 705 E WASHINGTON AVE BSMT STE
Second Line :
City : RIVERTON
State : WY
Zip : 82501-4452
Country : US
Telephone Number : 307-851-7969
Fax Number :
Provider Business Practice Location Address
First Line : 705 E WASHINGTON AVE BSMT STE
Second Line :
City : RIVERTON
State : WY
Zip : 82501-4452
Country : US
Telephone Number : 307-851-7969
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : RENEE RAE LAWSON
Credential : RN
Telephone Number : 307-851-7969
Provider Enumeration Date : 08/29/2025
Last Update Date : 08/29/2025

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Directions to “ARTISTRY MED SPA & AESTHETICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.