Individual provider · Type 1 NPI
Amy R. Surdam, NP
Nurse Practitioner · Cheyenne, WY
Practice location
433 E 19th St
Cheyenne, WY 82001-4643
Fax (307) 635-2199
Mailing address
PO Box 20170
Cheyenne, WY 82003-7004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 18161.0312 (WY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1629099312
Amy R. Surdam, NP's National Provider Identifier is 1629099312, issued on Jul 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jun 28, 2012.