George Brannon
Individual provider Active NPI Community Health Worker · Cheyenne, WY
NPI 1992380265 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1992380265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 4514 Laramie St
Cheyenne, WY 82001-2154 - Phone
- (844) 895-7325
- NPI assigned
- Mar 17, 2021
- Sex
- Male
- 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
4514 Laramie St
Cheyenne, WY 82001-2154
Mailing address
510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 426-4728
Other providers in Cheyenne, WY
- Cheyanna Brady
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- Lisa Kae Brandes
- Macy Amanda Brandwein
- Jenna Nicole Brannock
- Brant Audiology, LLC
- Sarah Ann Braten
- James Francis Brausch
- Sandra Brausch
- Millie Marie Bravo-Garris
All providers in Cheyenne, 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 Mar 17, 2021. 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.