Rebecca Tiner

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

NPI 1750102265 · NPPES record last updated Oct 18, 2024

Key facts

NPI
1750102265
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1114 Lane 12
Lovell, WY 82431-9555
Phone
(307) 548-6543
NPI assigned
Oct 18, 2024
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

Specialties & licenses

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

Addresses

Primary practice location

1114 Lane 12
Lovell, WY 82431-9555

Mailing address

2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 548-6543

Other providers in Lovell, WY

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

Sources for this page

Verify at the official NPI Registry.