| Prosperity Practice Llc | |
|
107 E Owen Ave Lyman WY 82937-5119 | |
| (307) 679-1403 | |
| (307) 242-5077 |
| Full Name | Prosperity Practice Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 107 E Owen Ave, Lyman, Wyoming |
| Authorized Official Name and Position | Cathy Jones (ADMINISTRATOR) |
| Authorized Official Contact | 3076791403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Practice Llc Po Box 1322 Lyman WY 82937-1322 Ph: (307) 679-1403 | Prosperity Practice Llc 107 E Owen Ave Lyman WY 82937-5119 Ph: (307) 679-1403 |
| NPI Number | 1396570875 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 05/09/2025 |
| Medicare PECOS PAC ID | 9133651557 |
|---|---|
| Medicare Enrollment ID | O20241010000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396570875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Felicia Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750084521 PECOS PAC ID: 5890156533 Enrollment ID: I20241015002590 |
Evanston Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 N Main Street, Lyman, WY 82937 Phone: 307-787-3313 Fax: 307-787-3312 | |
Evanston Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St., Lyman, WY 82937 Phone: 307-787-3313 | |
Evanston Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St, Lyman, WY 82937 Phone: 307-787-3313 |