| Miss Ryan Stephanie Goodman, CPNP-AC | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1500 | |
| Not Available |
| Full Name | Miss Ryan Stephanie Goodman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710629704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 53158 (Wyoming) | Primary |
| 163W00000X | Registered Nurse | 41646 (Wyoming) | Secondary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ryan Stephanie Goodman, CPNP-AC 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 670-5653 | Miss Ryan Stephanie Goodman, CPNP-AC 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1500 |
Brenna Kirsch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 W 4th St, Gillette, WY 82716 Phone: 307-682-2233 |
Mrs. Rickay Marie Wolf, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 623 N Commercial Dr, Gillette, WY 82716 Phone: 307-363-5930 Fax: 888-720-0569 |
Patricia Mcjilton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 |
Katherina A Shahan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W 4th St, Gillette, WY 82716 Phone: 307-682-6263 Fax: 307-682-2024 |
Christina Dawn Coffield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 |
Amy Elizabeth Hawk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3535 |
Mrs. Leah M Albrecht, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W 4th St, Gillette, WY 82716 Phone: 307-682-8110 Fax: 307-685-1193 |