IndividualActive
Jay Staley
NPI 1265214688 · Student in an Organized Health Care Education/Training Program · Evanston, WY
Provider details
- NPI number
- 1265214688
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
350 City View Dr Ste 206
Evanston, WY 82930-5326
Phone: (307) 789-7915
Fax: (307) 789-6009
Approximate (ZIP-level) locationGet directions
Mailing address
350 City View Dr Ste 206
Evanston, WY 82930-5326
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.