Jennifer Brosious
Individual provider Active NPI Community/Behavioral Health Agency · Cheyenne, WY
NPI 1871999045 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1871999045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 2714 Warren Ave
Cheyenne, WY 82001-2842 - Phone
- (307) 286-2520
- NPI assigned
- Nov 14, 2014
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2714 Warren Ave
Cheyenne, WY 82001-2842
Mailing address
2714 Warren Ave
Cheyenne, WY 82001-2842
Phone (307) 286-2520
Other providers in Cheyenne, WY
- Jessica Annette Britton
- Katherine Marie Brock
- Miriah Jenelle Bronder
- Stephen A Bronson
- Cynthia Sue Brooks
- Kylie A Brough
- Rebecca Lea Brown-Johnson
- Allison L Brown
- Amanda J Brown
- Bret Covey Brown
All providers in Cheyenne, WY · Community/Behavioral Health 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 Oct 5, 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.