Organization · Type 2 NPI

Theresa Lerch C FNP CNM PC

Family Nurse Practitioner · Jackson, WY

NPI number 1437335866 Active

Practice location

320 E Broadway, Suite 1C
Jackson, WY 83001

Fax (307) 733-4787

Mailing address

PO Box 9487
Jackson, WY 83002-9487

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X18054.0164 (WY)
Advanced Practice Midwife 367A00000X18054.0164 (WY)

Family Nurse Practitioner: Definition to come...

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About NPI 1437335866

Theresa Lerch C FNP CNM PC's National Provider Identifier is 1437335866, issued on Jan 16, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, WY. The record was last updated on Dec 3, 2008.