IndividualActive
Beth Johnson, CCMA
NPI 1679370142 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1679370142
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CCMA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1430 Wilkins Cir
Casper, WY 82601-1336
Phone: (307) 237-9583
Approximate (ZIP-level) locationGet directions
Mailing address
1430 Wilkins Cir
Casper, WY 82601-1336
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.