INTEGRATIVE HEALTHCARE SERVICES OF WYOMING LLC - NPI 1679059927

Q: What is Integrative Healthcare Services Of Wyoming LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Integrative Healthcare Services Of Wyoming Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE HEALTHCARE SERVICES OF WYOMING LLC (NPI 1679059927) is a healthcare organization registered as a family in Casper, Wyoming and active in the NPI registry since July 2018. The organization lists Brenda Jean Threlkeld, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1679059927

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameINTEGRATIVE HEALTHCARE SERVICES OF WYOMING LLC

Location Address1300 E A ST STE 201Casper, WY 82601-2252

Mailing Address1030 Donegal StCasper, WY 82609-3221 · (307) 554-0522

Phone(307) 235-3333

Organization SubpartNo

Authorized OfficialBrenda Jean ThrelkeldAprn/owner · (307) 554-0522

Enumeration DateJuly 18, 2018

✔ NPI 1679059927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1300 E A ST STE 201, Casper, WY 82601

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Other Identifiers 1

Medicaid143563900WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEIGH CLARK MSW, LCSW

Social Worker (Clinical)