Bonnie White

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

NPI 1972849537 · NPPES record last updated Dec 28, 2012

Key facts

NPI
1972849537
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
50 W 2ND St Lot 12
Lovell, WY 82431-1701
Phone
(307) 202-2489
NPI assigned
Dec 28, 2012
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

50 W 2ND St Lot 12
Lovell, WY 82431-1701

Mailing address

50 W 2ND St Lot 12
Lovell, WY 82431-1701
Phone (307) 202-2489

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.