| Ms Lisa S Rose, FNP-C | |
|
5647 Us Highway 26, Dubois, WY 82513-9607 | |
| (307) 455-2516 | |
| (307) 455-2526 |
| Full Name | Ms Lisa S Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 5647 Us Highway 26, Dubois, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659734390 | NPI | - | NPPES |
| 144824200 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 22672.1509 (Wyoming) | Primary |
| Entity Name | Community Health Center of Central Wyoming Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447480561 PECOS PAC ID: 3375454705 Enrollment ID: O20031105000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa S Rose, FNP-C 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 | Ms Lisa S Rose, FNP-C 5647 Us Highway 26, Dubois, WY 82513-9607 Ph: (307) 455-2516 |
Kristen Kohlbrand, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5647 Us Highway 26, Dubois, WY 82513 Phone: 307-455-2516 |
Trisha Rose, MSN RN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 Mountain View Dr, Dubois, WY 82513 Phone: 307-699-0550 |