Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANIE MARIE DEATRICH, DO
ActiveJOANIE MARIE DEATRICH, DO is a Adolescent Medicine healthcare provider located in CHEYENNE, Wyoming. NPI 1346336500 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · CHEYENNE, WY
Registration Details
- NPI Number
- 1346336500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.839674500688 yrs)
- Last Updated
- Oct 1, 2020
- License
-
0055774 (CO)
Practice Information
- Address
-
2360 E PERSHING BLVDCHEYENNE, WY, 820015356Browse WY providers · Browse ZIP 82001
- Phone
- 3077787555
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in CHEYENNE, WY
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTINE K VAN KIRK | M.D. | 1003078148 |
| KATHLEEN PARMER | — | 1104418789 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.