Michylea Tucker
Individual provider Active NPI Community Health Worker · Cheyenne, WY
NPI 1336737162 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1336737162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2310 E 8TH St
Cheyenne, WY 82001-5256 - Phone
- (844) 895-7325
- NPI assigned
- Jan 7, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2310 E 8TH St
Cheyenne, WY 82001-5256
Mailing address
510 W 29TH St
Cheyenne, WY 82001-2760
Phone (844) 895-7325
Other providers in Cheyenne, WY
- Clara A. Trujillo
- Linda Marie Trujillo
- Angelina Tsukas
- Joshua Tubbs
- Douglas Arthur Tucker
- Alayna Rose Tudor
- Nadesha Monique Tugwell-Thompson
- Lindsay N. Tully
- Tammy Turano
- Andraya Turner
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 Jan 7, 2021. 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.