Wrenn, Diane Marie
Wrenn, Diane Marie is an individual health care provider with primary practice located at 902 N Higley Blvd , Rawlins WY 82301-5906. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wrenn, Diane Marie can be contacted via phone (307) 324-3723.Contact Information
Primary practice address
902 N Higley Blvd
Rawlins WY 82301-5906
Phone: (307) 324-3723
Fax: (307) 370-4070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 23711.0837 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 23711.0837 | Wyoming |
Profile Details
| NPI number | 1255403457 |
|---|---|
| LBN Legal business name | Wrenn, Diane Marie |
| Credentials | ARNP, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Feb 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255403457 | NPPES |
| Wyoming | Other | 110573001 | MEDICAID |
| Wyoming | MEDICAID | 200547740A | MEDICAID |
| Wyoming | Other | 1558082669 | MEDICAID |
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