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

Willow Creek Family Medicine, PC

Organization Family Nurse Practitioner · NPI 1184800674

Willow Creek Family Medicine, PC is a Family Nurse Practitioner in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4003 Rawlins St
Cheyenne, WY 82001-1800
Phone: (307) 638-8975
Fax: (307) 634-9267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16129.0890 (WY)

Record details

NPI number1184800674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Hattel — Owner · (307) 638-8975
NPI enumeratedJanuary 14, 2008
Last updated in NPPESMarch 14, 2012
Mailing address4003 Rawlins St, Cheyenne, WY 82001-1800

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