Mind Matters
Nurse Practitioner, Psych/Mental Health in Laramie, WY. Organization (NPI-2).
NPI number1982245148
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1982245148
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Matters
- Organization subpart
- No
- Enumeration date
- Sep 30, 2019
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
121 E Grand Ave Ste 204Laramie, WY 82070-3600
Phone 307-630-8798
Mailing address
464 N 5th StLaramie, WY 82072-3137
Phone 307-630-8798
Authorized official
Sherra Stclair
Dnp Pmhnp-Bc
3073164410
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