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NPI 1104658897

IndividualActive

Desiree Wisdorf, RN

NPI 1104658897 · Ophthalmic Registered Nurse · Cheyenne, WY

Provider details

NPI number: 1104658897
Entity type: Individual
Primary specialty: Ophthalmic Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 45261 (WY)

Practice location

2360 E Pershing Blvd

Cheyenne, WY 82001-5356

Phone: (307) 778-7550

Fax: (307) 778-7328

More WY providers

Mailing address

2360 E Pershing Blvd

Cheyenne, WY 82001-5356

Registry dates

Enumerated: 2024-08-20
Last updated: 2024-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Desiree Wisdorf, RN — NPI 1104658897, Cheyenne, WY | NPI Central