| Kelly Randermann, APRN, FNP-C | |
|
1121 Washington Blvd, Newcastle, WY 82701-2968 | |
| (307) 746-4491 | |
| (307) 746-4579 |
| Full Name | Kelly Randermann |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1121 Washington Blvd, Newcastle, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497138515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53958 (Wyoming) | Primary |
| Entity Name | Columbus Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740238641 PECOS PAC ID: 1557250446 Enrollment ID: O20040417000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Randermann, APRN, FNP-C 1121 Washington Blvd, Newcastle, WY 82701-2968 Ph: (979) 733-0095 | Kelly Randermann, APRN, FNP-C 1121 Washington Blvd, Newcastle, WY 82701-2968 Ph: (307) 746-4491 |
Ashley Tupper, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 Washington Blvd, Newcastle, WY 82701 Phone: 307-746-2182 | |
Shellie Ann Hensley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 219 W Main St, Newcastle, WY 82701 Phone: 307-746-2182 Fax: 833-941-2527 | |
Patrick James Gleason, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1124 Washington Blvd, Newcastle, WY 82701 Phone: 307-746-3700 Fax: 307-746-3722 | |
Jessica Whitney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Washington Blvd, Newcastle, WY 82701 Phone: 307-746-6720 |