Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 174V00000X | Clinical Ethicist |
NPI | 1265747471 |
---|---|
Provider Name | Dr. Katrina Andrea Bramstedt |
First Address | Sheridan, WY 82801 |
Second Address | Sheridan, WY 82801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2010 |
Last Update Date | 28/06/2018 |