IndividualActive
Deseriee Stofferahn
NPI 1457003139 · Gerontology Nurse Practitioner · Rock Springs, WY
Provider details
- NPI number
- 1457003139
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 49265 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3000 College Dr
Rock Springs, WY 82901-4202
Phone: (307) 212-7708
Fax: (307) 352-8148
Approximate (ZIP-level) locationGet directions
Mailing address
3000 College Dr
Rock Springs, WY 82901-4202
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.