| Rustin Myrick, FNP | |
|
1115 Lane 12, Lovell, WY 82431-9537 | |
| (307) 548-5200 | |
| (307) 548-5678 |
| Full Name | Rustin Myrick |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1115 Lane 12, Lovell, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720772551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 52597 (Wyoming) | Primary |
| Entity Name | North Big Horn Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750485793 PECOS PAC ID: 1456269869 Enrollment ID: O20040610001662 |
| Entity Name | Summit Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Entity Name | Platte Valley Healthcare Project |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730899204 PECOS PAC ID: 9931513892 Enrollment ID: O20230522000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Rustin Myrick, FNP 1115 Lane 12, Lovell, WY 82431-9537 Ph: (307) 548-5200 | Rustin Myrick, FNP 1115 Lane 12, Lovell, WY 82431-9537 Ph: (307) 548-5200 |
Dr. Dawn Irene Hardwick, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 Lane 12, Lovell, WY 82431 Phone: 307-548-5201 Fax: 307-548-5224 | |
Mrs. Brenda Cheri Arnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Lane 12, Lovell, WY 82431 Phone: 307-548-5200 Fax: 307-548-5224 | |
Ali E Wagner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 Lane 12, Lovell, WY 82431 Phone: 307-548-5201 |