Individual provider · Type 1 NPI
Kelly Lynne Pretty Weasel, RN
Federal Public Health Clinic/Center · Fort Washakie, WY
NPI number
1770898140
Active
Practice location
29 Blackcole Dr
Fort Washakie, WY 82514
Mailing address
PO Box 128
Fort Washakie, WY 82514-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federal Public Health Clinic/Center Primary | 261QP0904X | None listed |
Federal Public Health Clinic/Center: Definition to come...
About NPI 1770898140
Kelly Lynne Pretty Weasel, RN's National Provider Identifier is 1770898140, issued on Aug 10, 2010. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Fort Washakie, WY. The record was last updated on Aug 10, 2010.