Dawn Renee' Mabrouk, CMA

Individual provider Active NPI Case Manager/Care Coordinator · Riverton, WY

NPI 1740979871 · NPPES record last updated May 4, 2023

Key facts

NPI
1740979871
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1110 Major Ave
Riverton, WY 82501-2342
Phone
(307) 856-6587
NPI assigned
May 4, 2023
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
Credentials
Certified Medical Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1110 Major Ave
Riverton, WY 82501-2342

Mailing address

748 Main St
Lander, WY 82520-3036

Other practice location 1

748 Main St
Lander, WY 82520-3036
Phone (307) 332-2231

Other providers in Riverton, WY

All providers in Riverton, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.