OrganizationActive
Chukar Haven Anesthesia PC
NPI 1619274347 · Certified Registered Nurse Anesthetist · Riverton, WY
Provider details
- NPI number
- 1619274347
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Matthew Mullinix, President(307) 856-4161
- License
- 22560.0355 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2100 W Sunset Dr
Anesthesia - Mullinix
Riverton, WY 82501-2274
Phone: (307) 856-4161
Approximate (ZIP-level) locationGet directions
Mailing address
2100 W Sunset Dr
Riverton, WY 82501-2274
Registry dates
- Enumerated
- 2011-02-15
- Last updated
- 2011-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.