Gloria Alexandrina Cordova
Individual provider Active NPI Case Manager/Care Coordinator · Boulder, WY
NPI 1659968246 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1659968246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 51 Jack Rabbit Lane
Boulder, WY 82923 - Phone
- (760) 877-4794
- NPI assigned
- Dec 29, 2020
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
51 Jack Rabbit Lane
Boulder, WY 82923
Mailing address
PO Box 1594
Pinedale, WY 82941-1594
Phone (760) 877-4794
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ms.gloria.cordova@gmail.com | Health Information Exchange (HIE) | |
| Other URL | ms.gloria.cordova@gmail.com | Health Information Exchange (HIE) |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. 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.