IndividualActive
Tracy Wickersham-Frey, PA-C
NPI 1447653456 · Medical Physician Assistant · Gillette, WY
Provider details
- NPI number
- 1447653456
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1121 Washington Blvd
Newcastle, WY 82701-2968
Additional practice locations (2)
- 1121 Washington BlvdNewcastle, WY 82701-2968Phone: (307) 746-3582
- 1401 W 5th StSheridan, WY 82801-2705Phone: (307) 672-1100Fax: (307) 672-1145
Registry dates
- Enumerated
- 2014-10-04
- Last updated
- 2023-12-27
- Certified
- 2023-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.