IndividualActive
Marilyn Tacoma, RN
NPI 1164808382 · Psychiatric/Mental Health Registered Nurse · Evanston, WY
Provider details
- NPI number
- 1164808382
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14929 (WY)
Specialties & taxonomies
Nursing Service Providers
Practice location
1037 Morse Lee St
Evanston, WY 82930
Phone: (307) 679-1232
Approximate (ZIP-level) locationGet directions
Mailing address
1037 Morse Lee St
Evanston, WY 82930
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.