Individual provider · Type 1 NPI
Jason Lee Sondgeroth
Family Nurse Practitioner · Laramie, WY
NPI number
1639698608
Active
Practice location
255 N 30th St
Laramie, WY 82072-5140
Mailing address
5418 Summit Dr
Laramie, WY 82070-5737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 34334.1654 (WY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639698608
Jason Lee Sondgeroth's National Provider Identifier is 1639698608, issued on Sep 11, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laramie, WY. The record was last updated on Sep 11, 2017.