Organization · Type 2 NPI
Pony Express Pediatrics, LLC
Pediatric Nurse Practitioner · Cheyenne, WY
NPI number
1265087993
Active
Practice location
1307 Crook Ave
Cheyenne, WY 82001-5412
Mailing address
2076 Painted Sky Rd
Cheyenne, WY 82009-9196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1265087993
Pony Express Pediatrics, LLC's National Provider Identifier is 1265087993, issued on Aug 8, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cheyenne, WY. The record was last updated on Aug 8, 2019.