Petro, Kathleen Ann
Petro, Kathleen Ann is an individual health care provider with primary practice located at 535 E Main St Ste A , Lander WY 82520-3424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petro, Kathleen Ann can be contacted via phone (307) 335-7720.Contact Information
Primary practice address
535 E Main St Ste A
Lander WY 82520-3424
Phone: (307) 335-7720
Fax: (307) 335-7723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15565.0169 | Wyoming |
Profile Details
| NPI number | 1730203613 |
|---|---|
| LBN Legal business name | Petro, Kathleen Ann |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2007 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730203613 | NPPES |
| Other | 314168 | BCBS | |
| MEDICAID | 122992300 | BCBS |
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