Most Relevant Information
Provider Data
| NPI Number: | 1003303728 |
| Provider Name: | AMY MARIE ELM RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | 21676 |
Most Important Dates
| Enumeration Date: | 04/18/2018 |
| Last Updated: | 04/18/2018 |
Provider Practice Location
231 S WILSON ST
CASPER
WY
826012941
Practice Location Phone/Fax
| Phone: | 3072653791 |
| Fax: | 3072654480 |
Provider Mailing Location
231 S WILSON ST
CASPER
WY
826012941
Provider Mailing Phone/Fax
| Phone: | 3072653791 |
| Fax: | 3072654480 |