| Twyla M Thalken, MS, FNP | |
|
111 S 5th St, Douglas, WY 82633-2434 | |
| (307) 358-7340 | |
| (307) 358-7304 |
| Full Name | Twyla M Thalken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 111 S 5th St, Douglas, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306946611 | NPI | - | NPPES |
| 120377100 | Medicaid | WY | |
| 309067 | Other | WY | BCBS OF WYOMING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17083.0250 (Wyoming) | Primary |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Twyla M Thalken, MS, FNP 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-7340 | Twyla M Thalken, MS, FNP 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-7340 |
Julie Lynn Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-258-6719 | |
Sara Marie Thronburg, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-262-2860 | |
Mrs. Jacqueline Gale Retherford, MS NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-7300 | |
Kellie Dale Clausen, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 Fax: 307-358-7381 | |
Toni Marie Harms, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Center St, Douglas, WY 82633 Phone: 307-358-7300 | |
Melissa Renee Bulkley, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-7300 |