| Organization Name: | WESTERN WY FAMILY PLANNING |
| NPI Number: | 1154529303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY ANN NICKSICH (NURSE PRACTITIONER) |
| Mailing Address: | 809 Thompson St Rock Springs |
| State: | WY US |
| Postal Code: | 829017272 |
| Phone Number: | 3073626813 |
| Fax Number: | 3073626791 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 8026.0216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |