person
Mrs. Stacy Renee Anderson, APRN
Family Nurse Practitioner in Green River, Wyoming
NPI 1659719706

Stacy Renee Anderson is a Family Nurse Practitioner based in Green River, WY and is specialized in Family. Stacy Renee Anderson practices in Green River, WY and has the professional credentials of APRN. The NPI Number for Stacy Renee Anderson is 1659719706 and holds a License No. 18512.1248 (Wyoming).

The current practice location address for Stacy Renee Anderson is 520 Wilkes Dr Ste 13, Green River, WY and can be reached out via phone at 307-212-6242 and via fax at 307-212-2246.

Location: 520 Wilkes Dr Ste 13, Green River, WY, 82935-4854
person
Provider Profile Details
NPI Number
1659719706
Provider Name
Stacy Renee Anderson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
520 Wilkes Dr Ste 13, Green River, WY, 82935-4854
Phone Number
307-212-6242
Fax Number
307-212-2246
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
842269506 05 WY
institution
Provider Business Practice Location Address Details
Address
520 Wilkes Dr Ste 13
City
State
Zip
82935-4854
Phone Number
307-212-6242
Fax Number
307-212-2246
person
Provider Business Mailing Address Details
Address
520 Wilkes Dr Ste 13
City
State
Zip
82935-4854
Phone Number
307-212-6242
Fax Number
307-212-2246
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18512.1248 (Wyoming)
Definition
Definition to come...
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