NPI 1598848681 · live from the CMS NPI Registry
Laura A Gervais, AGPCNP-BC
Nurse Practitioner, Primary Care in Cheyenne, WY. National Provider Identifier 1598848681, active.
NPI record
| NPI | 1598848681 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 2360 E Pershing Blvd, Cheyenne, WY 82001 |
| Practice phone | 307-365-4671 |
| Enumerated | October 23, 2006 |
| Last updated | December 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 610 (WY) |
| Registered Nurse, Gerontology | 163WG0600X | 1665376 (CO) |
| Nurse Practitioner, Primary Care primary | 363LP2300X | 31031-1594 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.