Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Willow Creek Family Medicine, PC

Organization Family Nurse Practitioner · NPI 1184800674

Willow Creek Family Medicine, PC provides Family Nurse Practitioner services 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 Not confirmed with CMS for 14 years — call before visiting
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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