Ami Willadson
Individual provider Active NPI Respite Care · Mills, WY
NPI 1548029846 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1548029846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Respite Care 385H00000X
- Practice address
- 788 Badger Lane
Mills, WY 82644-5050 - Phone
- (307) 277-5035
- NPI assigned
- Mar 18, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | WY | Yes |
Addresses
Primary practice location
788 Badger Lane
Mills, WY 82644-5050
Mailing address
6568 Village Dr
Casper, WY 82604-3685
Phone (307) 262-1508
Other providers in Mills, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. 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.