Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WIDENER
ActiveMARY WIDENER is a Physician Assistant healthcare provider located in GILLETTE, Wyoming. NPI 1508164856 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GILLETTE, WY
Registration Details
- NPI Number
- 1508164856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 10, 2011 (15.387181657628 yrs)
- Last Updated
- May 24, 2021
- Licenses
-
PA53799 (CA)511 (WY)
Practice Information
- Address
-
407 S MEDICAL ARTS CT STE FGILLETTE, WY, 827163372Browse WY providers · Browse ZIP 82716
- Phone
- 3076889255
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GILLETTE, WY
| Name | Credential | NPI |
|---|---|---|
| DAWN M NOLAN | PA-C | 1689638074 |
| DENISE RICHARDS | PA | 1871524272 |
| DONALD B TARDIF | PA-C | 1891887170 |
| DAVID L JENKINS | P.A. | 1346399185 |
| CANDACE M WINTERS | PA | 1023130440 |
| ROXANNE LEIGH PETERS | PA-C | 1558593731 |
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.