person
Kellie Dale Clausen, FNP
Family Nurse Practitioner in Douglas, Wyoming
NPI 1487616553

Kellie Dale Clausen is a Family Nurse Practitioner based in Douglas, WY and is specialized in Family. Kellie Dale Clausen practices in Douglas, WY and has the professional credentials of FNP. The NPI Number for Kellie Dale Clausen is 1487616553 and holds a License No. 14471-0152 (Wyoming).

The current practice location address for Kellie Dale Clausen is 111 S 5Th St, Douglas, WY and can be reached out via phone at 307-358-2122 and via fax at 307-358-7381. You can also correspond with Kellie Dale Clausen through the mailing address at 111 S 5TH ST, DOUGLAS, WY - 82633-2434 (mailing address contact number: 307-358-2122).

Location: 111 S 5Th St, Douglas, WY, 82633-2434
person
Provider Profile Details
NPI Number
1487616553
Provider Name
Kellie Dale Clausen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
111 S 5Th St, Douglas, WY, 82633-2434
Phone Number
307-358-2122
Fax Number
307-358-7381
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121710100 05 WY
313807 01 WY BLUECROSS AND BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
111 S 5Th St
City
State
Zip
82633-2434
Phone Number
307-358-2122
Fax Number
307-358-7381
person
Provider Business Mailing Address Details
Address
111 S 5Th St
City
State
Zip
82633-2434
Phone Number
307-358-2122
Fax Number
307-358-7381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
14471-0152 (Wyoming)
Definition
Definition to come...
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