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

Mountain Sage Holistic Clinic, LLC

Organization Primary Care Nurse Practitioner · NPI 1376924621

Mountain Sage Holistic Clinic, LLC is a Primary Care Nurse Practitioner in Dubois, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.

Licensed in
WY
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1428 Warm Springs Dr
Dubois, WY 82513-1428
Phone: (307) 455-2807
Fax: (307) 455-2809
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 33105.1295 (WY)

Record details

NPI number1376924621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Baum — Business Manager · (307) 455-2807
NPI enumeratedJune 12, 2015
Last updated in NPPESJune 12, 2015
Mailing address1428 Warm Springs Dr, Dubois, WY 82513-1428

Other providers in Dubois