Most Relevant Information
Provider Data
| NPI Number: | 1003286956 |
| Provider Name: | ANNE-MARIE T OCTAVIO FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 23615.1437 |
Most Important Dates
| Enumeration Date: | 10/05/2015 |
| Last Updated: | 08/17/2016 |
Provider Practice Location
1898 FORT RD
SHERIDAN
WY
828018320
Practice Location Phone/Fax
| Phone: | 3076753149 |
| Fax: | 3076753922 |
Provider Mailing Location
1898 FORT RD
SHERIDAN
WY
828018320
Provider Mailing Phone/Fax
| Phone: | 3076753149 |
| Fax: | 3076753922 |