IndividualActive
Carol Quillen, P.A.-C.
NPI 1093801664 · Physician Assistant · Lander, WY
Provider details
- NPI number
- 1093801664
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- License
- 286 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
745 Buena Vista Dr
Lander, WY 82520-3431
Phone: (307) 332-2941
Fax: (307) 332-2068
Approximate (ZIP-level) locationGet directions
Mailing address
745 Buena Vista Dr
Lander, WY 82520-3431
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.