IndividualActive
Wyatt Powell-Gallardo, RN, BSN
NPI 1417811779 · Case Management Registered Nurse · Cheyenne, WY
Provider details
- NPI number
- 1417811779
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 45371 (WY)
Specialties & taxonomies
Nursing Service Providers
Practice location
920 Gettysburg Dr
Cheyenne, WY 82001-7434
Phone: (307) 761-4719
Approximate (ZIP-level) locationGet directions
Mailing address
920 Gettysburg Dr
Cheyenne, WY 82001-7434
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.