| Sheridan Family Practice, P.c. | |
|
1435 Burton St Sheridan WY 82801-2723 | |
| (307) 672-0763 | |
| (307) 672-0766 |
| Full Name | Sheridan Family Practice, P.c. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1435 Burton St, Sheridan, Wyoming |
| Authorized Official Name and Position | Susan J Snyder (OWNER) |
| Authorized Official Contact | 3076720763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Family Practice, P.c. 1435 Burton St Sheridan WY 82801-2723 Ph: (307) 672-0763 | Sheridan Family Practice, P.c. 1435 Burton St Sheridan WY 82801-2723 Ph: (307) 672-0763 |
| NPI Number | 1154420768 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154420768 | NPI | - | NPPES |
| 305501 | Other | WY | BCBS |
| 313086 | Other | WY | BCBS |
| 1201867001 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4286A (Wyoming) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 15246.316 (Wyoming) | Primary |
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