IndividualActive
Corey Ernst, PA C
NPI 1083697064 · Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1083697064
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- 187 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2003 Bluegrass Circle
Cheyenne, WY 82009
Phone: (307) 634-4357
Fax: (307) 634-7773
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Crescent Dr
Cheyenne, WY 82007-9107
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2007-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.