Basic Information
Provider Information
NPI: 1417940115
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIMPSON
FirstName: CARYL
MiddleName: E W
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2014 GETTYSBURG DR
Address2:  
City: CHEYENNE
State: WY
PostalCode: 820017483
CountryCode: US
TelephoneNumber: 3075143876
FaxNumber:  
Practice Location
Address1: 214 E 23RD ST
Address2: CHEYENNE REGIONAL MEDICAL CENTER
City: CHEYENNE
State: WY
PostalCode: 820013748
CountryCode: US
TelephoneNumber: 3076337254
FaxNumber: 3076337256
Other Information
ProviderEnumerationDate: 08/26/2005
LastUpdateDate: 10/16/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X WYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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