IndividualActive
Alix Vath
NPI 1780535237 · Family Nurse Practitioner · Jackson, WY
Provider details
- NPI number
- 1780535237
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 56295 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
250 Scott Ln Ste 105
Jackson, WY 83001-8060
Phone: (985) 630-9499
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11603
Jackson, WY 83002-1603
Registry dates
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.