Sandra L. Harrison
Individual provider Active NPI Case Management Agency · Cowley, WY
NPI 1902246648 · NPPES record last updated Jun 26, 2013
Key facts
- NPI
- 1902246648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 28740 (WY)
- Practice address
- 135 South 3Rd St East
Cowley, WY 82420-0000 - Phone
- (307) 250-1484
- NPI assigned
- Jun 26, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28740 | WY | MD | Case Management Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 28740 | WY | Yes |
Addresses
Primary practice location
135 South 3Rd St East
Cowley, WY 82420-0000
Mailing address
135 East 3Rd St South
Cowley, WY 82420-0000
Phone (307) 250-1484
Other providers in Cowley, WY
All providers in Cowley, WY · Case Management 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 Jun 26, 2013. 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.