Suzanna Denison

Individual provider Active NPI Community Health Worker · Laramie, WY

NPI 1003287095 · NPPES record last updated Oct 15, 2015

Key facts

NPI
1003287095
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1263 N 15TH St
Laramie, WY 82072-2343
Phone
(307) 745-8915
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1263 N 15TH St
Laramie, WY 82072-2343

Mailing address

1263 N 15TH St
Laramie, WY 82072-2343
Phone (307) 745-8915

Other providers in Laramie, WY

All providers in Laramie, WY · Community Health Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.