Mr Collin D Prince, PNP, PMHNP | |
4116 Laramie St, Cheyenne, WY 82001-1969 | |
(307) 635-7961 | |
(307) 778-5814 |
Full Name | Mr Collin D Prince |
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Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 4116 Laramie St, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881830636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1300 (Wyoming) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 33183.1300 (Wyoming) | Primary |
Entity Name | Cheyenne Regional Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659458008 PECOS PAC ID: 2961403639 Enrollment ID: O20070123000486 |
Mailing Address | Practice Location Address |
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Mr Collin D Prince, PNP, PMHNP 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 Ph: (307) 635-7961 | Mr Collin D Prince, PNP, PMHNP 4116 Laramie St, Cheyenne, WY 82001-1969 Ph: (307) 635-7961 |
Christy Marie Dawson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4003 Rawlins St Ste A, Cheyenne, WY 82001 Phone: 307-638-8975 | |
Mrs. Diane E Hattel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001 Phone: 307-638-8975 Fax: 307-634-9267 | |
Julian Good, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 330-763-2936 Fax: 307-637-6852 | |
Daniel Taylor West, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273 | |
Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018 | |
Patrick Fitzgerald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 E Fox Farm Rd, Cheyenne, WY 82007 Phone: 307-635-3618 Fax: 307-635-1442 | |
Brandon Tyler Johnson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-632-2434 |