Provider Demographics
NPI:1003647280
Name:HOPE AND WELLNESS CONNECTION
Entity type:Organization
Organization Name:HOPE AND WELLNESS CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MIKEL
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, DNP
Authorized Official - Phone:307-290-2606
Mailing Address - Street 1:19 OLSON RD
Mailing Address - Street 2:
Mailing Address - City:ALADDIN
Mailing Address - State:WY
Mailing Address - Zip Code:82710-9707
Mailing Address - Country:US
Mailing Address - Phone:307-290-2606
Mailing Address - Fax:
Practice Address - Street 1:113 S. WEST ST.
Practice Address - Street 2:SUITE A
Practice Address - City:SUNDANCE
Practice Address - State:WY
Practice Address - Zip Code:82729-9998
Practice Address - Country:US
Practice Address - Phone:307-363-6163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty