Individual provider · Type 1 NPI
Desiree L. Wisdorf, RN
Ophthalmic Registered Nurse · Cheyenne, WY
NPI number
1104658897
Active
Practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Fax (307) 778-7328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmic Registered Nurse Primary | 163WX1100X | 45261 (WY) |
Ophthalmic Registered Nurse: Definition to come...
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About NPI 1104658897
Desiree L. Wisdorf, RN's National Provider Identifier is 1104658897, issued on Aug 20, 2024. The primary taxonomy on file is Ophthalmic Registered Nurse (163WX1100X), and the practice location is in Cheyenne, WY. The record was last updated on Aug 20, 2024.