Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fremont Anesthesia Associate, PLLC

Organization Anesthesiology Physician · NPI 1053508564

Fremont Anesthesia Associate, PLLC is an Anesthesiology Physician in Riverton, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 W Sunset Dr
Riverton, WY 82501-2274
Phone: (800) 967-1646
Fax: (317) 567-2191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X (WY)
Anesthesiology Physician Taxonomy 207L00000X (WY)

Record details

NPI number1053508564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Mullinix — Managing Group Member · (307) 856-4161
NPI enumeratedSeptember 28, 2007
Last updated in NPPESNovember 25, 2009
Mailing addressPo Box 30918, Billings, MT 59116-0918

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