NPI 1114442035
Charlene L Canada, MRCCRC
Practice location
- Address
- 12591 E Cow Hollow Rd, Casper, WY 82636
- Phone
- (307) 337-6307
- Mailing address
- 12591 E Cow Hollow Rd, Evansville, WY 82636-9701
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1114442035
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Aug 2017
- Record last updated
- 21 Jul 2022
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.