Elaina Elizabeth Oliver
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Wilson, WY
NPI 1578043006 · NPPES record last updated Aug 15, 2018
Key facts
- NPI
- 1578043006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- 3832 Andersen LN
Wilson, WY 83014-9194 - Phone
- (307) 413-7770
- NPI assigned
- Aug 15, 2018
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
3832 Andersen LN
Wilson, WY 83014-9194
Mailing address
3832 Andersen LN
Wilson, WY 83014-9194
Phone (307) 413-7770
Other providers in Wilson, WY
- Peter Moffatt
- Oak Physical Therapy & Wellness PC
- Madison August Oak
- Jill Oja-Johnson
- Cisco John Oldani
- Peak Physical Therapy Inc
- Laura Lea Perez
- Pro-Motion Chiropractic and Rehabilitation
- Red Top Meadows
- Region V Board of Cooperative Educational Services
All providers in Wilson, WY · Developmentally Disabled Services Day Training Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2018. 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.