Kristen Dewar Bancroft
Individual provider Active NPI Community Health Worker · Cody, WY
NPI 1477817583 · NPPES record last updated Jul 3, 2012
Key facts
- NPI
- 1477817583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2713 Cougar Ave
Cody, WY 82414-8400 - Phone
- (307) 587-5112
- Fax
- (307) 587-5446
- NPI assigned
- Jul 3, 2012
- 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
2713 Cougar Ave
Cody, WY 82414-8400
Mailing address
2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 587-2197
Other names
- Ms. Kris Bancroft
Other providers in Cody, WY
- Nancy Ann Axthelm
- Hans Ayres
- Shaun Robin Balch
- Valerie J Baldes
- Demetria Bales
- Sharon Barnhart
- Basin Vision Center, P. C.
- Valerie Bates
- Cynthia Baumstarck
- Gerard Baumstarck
All providers in Cody, 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 3, 2012. 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.