Stoddard, Gloria

Stoddard, Gloria is an sole proprietor health care provider with primary practice located at 302 Dinwiddie Rd , Laramie WY 82070-9768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stoddard, Gloria can be contacted via phone (307) 745-0517.

Contact Information

Primary practice address
302 Dinwiddie Rd Laramie WY 82070-9768
Fax: (307) 314-0060
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10494.0283 Wyoming

Profile Details

NPI number 1598855314
LBN Legal business name Stoddard, Gloria
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Sep 29th, 2020 - about 5 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 1598855314 NPPES
Wyoming MEDICAID 12212800

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