Hailey-Fulfer, Teecee Ann

Hailey-Fulfer, Teecee Ann is an sole proprietor health care provider with primary practice located at 145 S Durbin St Ste 108 , Casper WY 82601-2566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hailey-Fulfer, Teecee Ann can be contacted via phone (307) 333-5757.

Contact Information

Primary practice address
145 S Durbin St Ste 108 Casper WY 82601-2566
Phone: (307) 333-5757
Fax: (307) 439-2141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27666.1343 Wyoming

Profile Details

NPI number 1093117210
LBN Legal business name Hailey-Fulfer, Teecee Ann
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Jun 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093117210 NPPES
Wyoming MEDICAID 139060100

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