IndividualActive
Bradley Vincent
NPI 1649101874 · Registered Nurse · Fort Washakie, WY
Provider details
- NPI number
- 1649101874
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 31211 (WY)
Specialties & taxonomies
Nursing Service Providers
Practice location
29 Black Coal Drive
Fort Washakie, WY 82514
Phone: (307) 332-7300
Approximate (ZIP-level) locationGet directions
Mailing address
29 Black Coal Drive
Fort Washakie, WY 82514
Registry dates
- Enumerated
- 2026-05-27
- Last updated
- 2026-05-27
- Certified
- 2026-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.