NPI 1003476854

Charles Elliott

Practitioner Community Health Worker Laramie, WY

Practice location

Address: 4989 N 3rd St, Laramie, WY 82072-9548
Phone: (307) 745-8997

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Wyoming →

Registry record

NPI: 1003476854
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2019
Record last updated: 14 Jun 2019

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.