MEDICARE: WESTERN WYOMING FAMILY PLANNING

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	261QA0005X	Ambulatory Family Planning Facility	MN0455762	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1942442850	OTHER	WY	FNP- NIKKI ARMSTRONG
3	1568829109	OTHER	WY	CNM- MANDI LEW
4	1982293197	OTHER	WY	FNP-JADEN BINGHAM

General Provider Information

NPI Number	:	1922152826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN WYOMING FAMILY PLANNING

Provider Business Mailing Address
First Line	:	333 BROADWAY ST STE 120
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-6254
Country	:	US
Telephone Number	:	307-362-6813
Fax Number	:	307-362-6791

Provider Business Practice Location Address
First Line	:	809 THOMPSON ST
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-7272
Country	:	US
Telephone Number	:	307-362-6813
Fax Number	:	307-362-6791

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. ALEXA MARIE ROBERSON
Credential	:
Telephone Number	:	307-922-5365

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	01/22/2025

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Directions to “WESTERN WYOMING FAMILY PLANNING ” Practice Location

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