Organization · NPI-2

307 Hope Clinic, LLC

Nurse Practitioner, Pediatrics · Rock Springs, WY

NPI number1407761919
StatusActive
Last updated in NPPESOct 29, 2026

Details

NPI
1407761919
Entity type
Organization (NPI-2)
Legal business name
307 Hope Clinic, LLC
Organization subpart
Yes
Enumeration date
Aug 18, 2026
Certification date
Oct 29, 2026
Last updated
Oct 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics––Yes
261QP2300X Clinic/Center, Primary Care––
363AM0700X Physician Assistant, Medical––
363L00000X Nurse Practitioner––
363LF0000X Nurse Practitioner, Family––
363LP0808X Nurse Practitioner, Psych/Mental Health––

Other names

  • 307 Hope Clinic LLC (Doing Business As)
  • 307 Hope Clinic Medical (Doing Business As)

Practice location

1208 Hilltop Dr Ste 104
Rock Springs, WY 82901-5858

Phone 307-371-2427 · Fax 858-947-2019

Mailing address

1208 Hilltop Dr Ste 104
Rock Springs, WY 82901-5858

Phone 307-371-2427 · Fax 858-947-2019

Other practice locations

115 E Flaming Gorge Way
Green River, WY 82935-4322

Phone 307-371-2427 · Fax 858-947-2019

1204 Hilltop Dr Ste 109
Rock Springs, WY 82901-5861

Phone 307-371-2427 · Fax 858-947-2019

Authorized official

Tamara Sue Walker
Medical Director
3073712427

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