MEDICARE: ANNA OHEARN NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	115328	NE
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	51840	WY

General Provider Information

NPI Number	:	1396221479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA OHEARN NP

Provider Business Mailing Address
First Line	:	PO BOX 392
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82602-0392
Country	:	US
Telephone Number	:	307-243-8181
Fax Number	:	765-238-4859

Provider Business Practice Location Address
First Line	:	150 E B ST # 392
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-7004
Country	:	US
Telephone Number	:	307-243-8181
Fax Number	:	765-238-4859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	06/01/2026

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