Platte River Family Practice Llc

LBN: Platte River Family Practice Llc
Platte River Family Practice Llc is an health care organization with primary practice located at 1900 E 1St St , Casper WY 82601-2747. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Platte River Family Practice Llc can be contacted via phone (307) 577-7737, or through Gruwell, Amy Marie via phone (307) 577-7737.

Contact Information

Primary practice address
1900 E 1St St Casper WY 82601-2747
Phone: (307) 577-7737
Fax: (307) 577-0049
Website:
Map and Directions
Authorized official contact:
Name: Gruwell, Amy Marie FNPC
Phone: (307) 577-7737

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19507.318 Wyoming

Profile Details

NPI number 1942443536
LBN Legal business name Platte River Family Practice Llc
DBA Doing business as
Authorized official Gruwell, Amy Marie FNPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2009
Last updated May 17th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942443536 NPPES
Wyoming MEDICAID 128539400

Popular Providers