NPI 1366634396

Wyoming Wic Program

Organisation Public Health or Welfare Agency Cheyenne, WY

Practice location

Address: 6101 Yellowstone Road Suite 510, Cheyenne, WY 82002-0001
Phone: (307) 777-7494
Fax: (307) 777-5643

Authorised official

Name: Jean a Bouley
Title: Administrative Specialist 3
Phone: (307) 777-7494

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Wyoming →

Registry record

NPI: 1366634396
Entity type: Organization
NPI issued: 14 Aug 2007
Record last updated: 7 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.