Adrienne Hardy

Individual provider Active NPI Community Health Worker · Laramie, WY

NPI 1285037564 · NPPES record last updated Oct 1, 2014

Key facts

NPI
1285037564
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
4989 N 3Rd St
Laramie, WY 82072-9548
Phone
(307) 745-8997
Fax
(307) 742-6146
NPI assigned
Oct 1, 2014
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

4989 N 3Rd St
Laramie, WY 82072-9548

Mailing address

4989 N 3Rd St
Laramie, WY 82072-9548
Phone (307) 745-8997

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.