Provider Demographics
NPI:1073712279
Name:VASEK, PAULA SUE (FNP)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:SUE
Last Name:VASEK
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:2710 E HARNEY ST
Mailing Address - Street 2:SUITE 100 LARAMIE PHYSICIANS FOR CHILDREN
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-2884
Mailing Address - Country:US
Mailing Address - Phone:307-721-3118
Mailing Address - Fax:307-721-4880
Practice Address - Street 1:2710 E HARNEY ST
Practice Address - Street 2:SUITE 100 LARAMIE PHYSICIANS FOR CHILDREN
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2884
Practice Address - Country:US
Practice Address - Phone:307-721-3118
Practice Address - Fax:307-721-4880
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY21200372207V00000X, 208000000X, 363LF0000X
WY212-000372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics