Widener, Mary

Widener, Mary is an individual health care provider with primary practice located at 407 S Medical Arts Ct Ste F , Gillette WY 82716-3372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Widener, Mary can be contacted via phone (307) 688-9255.

Contact Information

Primary practice address
407 S Medical Arts Ct Ste F Gillette WY 82716-3372
Phone: (307) 688-9255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA53799 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 511 Wyoming

Profile Details

NPI number 1508164856
LBN Legal business name Widener, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated May 24th, 2021 - about 4 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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