MRS. SUSAN M. MINER (NPI# 1063012383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063012383 |
Entity Type | Individual |
Full Name | MRS. SUSAN M. MINER |
Credential | APRN, FNP-C |
Practice Address |
487 N. Main St. #2 Thayne WY 83127 |
Mailing Address |
942 Saddle Dr Etna WY 83118-8713 |
Practice Telephone | 3078835500 |
Mailing Telephone | 3073494682 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
46373 | WY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
942 Saddle Dr, Etna, WY 831188713 | 3073494682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609183656 | Susan Miner | Social Worker | 7509 Madison Ave Ste 106b, Citrus Heights, CA 95610-7464 | 2010-09-10 |
1134469380 | Susan Miner | Social Worker | 7 Church St, Damariscotta, ME 04543 | 2013-02-26 |
Street Address |
487 N. MAIN ST. #2 |
City | THAYNE |
State | WY |
Zip Code | 83127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
1629402078 | Kyle C Lancaster | Pharmacist | 118 Peterson Pkwy, Thayne, WY 83127 | 2013-08-21 |
1225478894 | Our Valley Pharmacy | Durable Medical Equipment & Medical Supplies | 118 Petersen Pkwy, Thayne, WY 83127 | 2013-06-27 |
1073892816 | Jennifer Suzanne Knowlton | Counselor | 383 N Main St, 2nd Floor, Thayne, WY 83127 | 2011-08-10 |
1619117348 | Access Hospice Care LLC | Home Health | 102293 Hwy 89, Thayne, WY 83127 | 2009-02-20 |
1801034475 | Access Home Care LLC | Home Health | 102293 Hyw 89 S, Thayne, WY 83127 | 2009-02-04 |
1528206661 | Scott M. Sessions | Chiropractor | 383 N Main Street, Suite 1, Thayne, WY 83127 | 2009-01-28 |
1518121748 | Sandra Marcoccia Sears | Social Worker | 624 Alpine Way, Star Valley Ranch, WY 83127 | 2008-07-16 |
1093984510 | Alliance Hospice of Star Valley | Hospice Care, Community Based | 63 Bridger Dr, Thayne, WY 83127 | 2008-02-28 |
1508042425 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 190 North Main, Thayne, WY 83127 | 2008-01-10 |
Find all providers in zip 83127 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205307097 | Jessica Torrez | Nurse Practitioner | 118 S Main St, #400, Thayne, WY 83127 | 2018-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922606177 | Crysta Jean Sullivan | Nurse Practitioner | 2401 Greenway Dr, Gillette, WY 82716-2333 | 2020-10-10 |
1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
1417560020 | Camlyn Dunn | Nurse Practitioner | 17985 Us Highway 14, Moorcroft, WY 82721-8814 | 2020-08-25 |
1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
1548882343 | Evolving Ehealth LLC | Nurse Practitioner | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777 | 2020-05-14 |
1316578826 | Karen Ann Alexander | Nurse Practitioner | 921 S Ballancee Ave, Lusk, WY 82225 | 2020-02-03 |
1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
1497390017 | William Carey Lake | Nurse Practitioner | 1025 Jade Drivee, Hanna, WY 82327-8232 | 2019-11-07 |
1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.