Nichole L Duff
Individual provider Active NPI Community Health Worker · Gillette, WY
NPI 1801627005 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1801627005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 812 E 4TH St
Gillette, WY 82716-4033 - Phone
- (307) 257-7180
- Fax
- (307) 257-7183
- NPI assigned
- Aug 9, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
812 E 4TH St
Gillette, WY 82716-4033
Mailing address
812 E 4TH St
Gillette, WY 82716-4033
Phone (307) 257-7180
Other providers in Gillette, WY
- Downtown Pediatrics, PC
- Dragonfly Therapy
- Cassidy R Drevlow
- Madison Driskill
- Michelle M Dubovsky
- Kara Kim Dunlap
- Camlyn Dunn
- John P Dunn
- Aleece N Durbin
- Lauren Sarah Dusek
All providers in Gillette, WY · Community Health Worker 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 9, 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.