IndividualActive
Montanna Merrick, PA-C
NPI 1205697315 · Surgical Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1205697315
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA1221 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4003 Rawlins St
Cheyenne, WY 82001-1800
Phone: (307) 632-1114
Approximate (ZIP-level) locationGet directions
Mailing address
4811 Kester St
Cheyenne, WY 82001-2085
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-12-13
- Certified
- 2024-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.