IndividualActive
Lisa Rose, FNP-C
NPI 1659734390 · Primary Care Nurse Practitioner · Dubois, WY
Provider details
- NPI number
- 1659734390
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 22672.1509 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5647 US Highway 26
Dubois, WY 82513-9607
Phone: (307) 455-2516
Fax: (307) 455-2526
Approximate (ZIP-level) locationGet directions
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.