Organization · Type 2 NPI
Prosperity Practice LLC
Family Nurse Practitioner · Lyman, WY
NPI number
1396570875
Active
Practice location
107 E Owen Ave
Lyman, WY 82937-5119
Fax (307) 242-5077
Mailing address
PO Box 1322
Lyman, WY 82937-1322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1396570875
Prosperity Practice LLC's National Provider Identifier is 1396570875, issued on Sep 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lyman, WY. The record was last updated on May 9, 2025.