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Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician in Laramie, WY · enumerated 2020 · authorized official Jana Conroy, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205456035

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Other name <Unavail>
Parent organization Poudre Valley Medical Group, LLC
Practice address 3116 Willett Dr, Laramie, WY, 82072
Fax (307) 742-9423
Enumeration date Apr 22, 2020
Last updated in NPPES Jun 19, 2024

Taxonomy & classification

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jana Conroy
Title Director of Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-19. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Laramie, WY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-19.