Amanda Louise Bialas

Individual provider Active NPI Case Manager/Care Coordinator · Gillette, WY

NPI 1184479933 · NPPES record last updated Apr 23, 2024

Key facts

NPI
1184479933
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1406 Estes LN
Gillette, WY 82716-2936
Phone
(307) 680-6154
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
Yes

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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1406 Estes LN
Gillette, WY 82716-2936

Mailing address

1406 Estes LN
Gillette, WY 82716-2936
Phone (307) 680-6154

Other providers in Gillette, WY

All providers in Gillette, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.