Most Relevant Information
Provider Data
| NPI Number: | 1003393984 |
| Provider Name: | ERENA HINTSA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PT775 |
Most Important Dates
| Enumeration Date: | 07/24/2018 |
| Last Updated: | 07/24/2018 |
Provider Practice Location
1909 VISTA DR
LARAMIE
WY
820705599
Practice Location Phone/Fax
| Phone: | 3077458851 |
| Fax: |
Provider Mailing Location
1909 VISTA DR
LARAMIE
WY
820705599
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |