Physician Assistant
MARY WIDENER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508164856 · enumerated 2011-03-10 · record updated 2021-05-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 407 S MEDICAL ARTS CT STE F, GILLETTE, WY, 82716-3372 (307) 688-9255 Google Maps Apple Maps OpenStreetMap
- Mailing address 407 S MEDICAL ARTS CT STE F, GILLETTE, WY, 82716-3372 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA53799 CA
- Physician Assistant 363A00000X · Primary · License 511 WY
In this directory
Locations and evidence
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Practice location
GILLETTE, WY, 827163372
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.