institution
Pony Express Pediatrics, Llc
Pediatric Nurse Practitioner in Cheyenne, Wyoming
NPI 1265087993

Pony Express Pediatrics, Llc is a Pediatric Nurse Practitioner based in Cheyenne, WY and is specialized in Pediatrics. Pony Express Pediatrics, Llc practices in Cheyenne, WY. The NPI Number for Pony Express Pediatrics, Llc is 1265087993 and holds a License No. (Wyoming).

The current practice location address for Pony Express Pediatrics, Llc is 1307 Crook Ave, Cheyenne, WY and can be reached out via phone at 321-313-3595.

Location: 1307 Crook Ave, Cheyenne, WY, 82009-9196
institution
Provider Profile Details
NPI Number
1265087993
Provider Name
Pony Express Pediatrics, Llc
Credential
Provider Entity Type
Organization
Address
1307 Crook Ave, Cheyenne, WY, 82009-9196
Phone Number
321-313-3595
Fax Number
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016218600 05 FL
institution
Provider Business Practice Location Address Details
Address
1307 Crook Ave
City
State
Zip
82001-5412
Phone Number
321-313-3595
Fax Number
person
Provider Business Mailing Address Details
Address
1307 Crook Ave
City
State
Zip
82001-5412
Phone Number
321-313-3595
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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