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NPI Code Detail

MEDICARE: MS. CARYL E W SIMPSON FNP

MEDICARE: MS. CARYL E W SIMPSON FNP
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
1363LF0000XFamily Nurse PractitionerWY

General Provider Information

NPI Number : 1417940115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARYL E W SIMPSON FNP
Provider Business Mailing Address
First Line : 2014 GETTYSBURG DR
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-7483
Country : US
Telephone Number : 307-514-3876
Fax Number :
Provider Business Practice Location Address
First Line : 214 E 23RD ST
Second Line : CHEYENNE REGIONAL MEDICAL CENTER
City : CHEYENNE
State : WY
Zip : 82001-3748
Country : US
Telephone Number : 307-633-7254
Fax Number : 307-633-7256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 10/16/2007

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