Provider Demographics
NPI:1376280487
Name:BRIGGS, MARKIE (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:MARKIE
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 HAMILTON, DOUGLAS, WY 82633
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:WY
Mailing Address - Zip Code:82633
Mailing Address - Country:US
Mailing Address - Phone:307-358-2942
Mailing Address - Fax:
Practice Address - Street 1:615 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-2698
Practice Address - Country:US
Practice Address - Phone:307-358-2942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251300000X163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY83-0214827Medicaid