Richendifer, Tristyn

Richendifer, Tristyn is an sole proprietor health care provider with primary practice located at 111 S 5Th St , Douglas WY 82633-2434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Richendifer, Tristyn can be contacted via phone (307) 358-6200.

Contact Information

Primary practice address
111 S 5Th St Douglas WY 82633-2434
Phone: (307) 358-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PT639 Wyoming

Profile Details

NPI number 1265816466
LBN Legal business name Richendifer, Tristyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2015
Last updated Aug 3rd, 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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