Daffney Lauren Sandoval
Individual provider Active NPI Community Health Worker · Cheyenne, WY
NPI 1235477167 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1235477167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 701 E 3Rd St
Cheyenne, WY 82007-1660 - Phone
- (307) 760-3561
- NPI assigned
- Jan 28, 2013
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
701 E 3Rd St
Cheyenne, WY 82007-1660
Mailing address
701 E 3Rd St
Cheyenne, WY 82007-1660
Phone (307) 760-3561
Other providers in Cheyenne, WY
- Leo Shane Sanchez
- Loree D Sanchez
- Susan Emillia Sanchez
- Penny Marie Sanderson
- Stanley M Sandick
- Sandra a Guidry
- Sandra a Guidry MD
- Andrea Sands
- Katelyn Marie Sandusky
- Katherine J Sanne
All providers in Cheyenne, WY · Community Health Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.