Diana Crystle Bozner

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

NPI 1972865012 · NPPES record last updated Jun 14, 2012

Key facts

NPI
1972865012
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone
(307) 352-6677
Fax
(307) 352-6614
NPI assigned
Jun 14, 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

2300 Foothill Blvd
Rock Springs, WY 82901-5610

Mailing address

2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone (307) 352-6677

Other providers in Rock Springs, WY

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

Sources for this page

Verify at the official NPI Registry.