Whalio Doctors

NPI 1225366925

Kristy H Faddis

Practitioner Respite Care Evanston, WY

Practice location

Address
164 Country Way, Evanston, WY 82930-9517
Phone
(307) 789-2875
Fax
(307) 789-2876

Registered specialties (4)

Respite Care Primary
Respite Care Facility Taxonomy 385H00000X Licence 251C00000X (WY)
Child Mental Illness Respite Care
Respite Care Facility Taxonomy 385HR2055X Licence 251C00000X (WY)
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X Licence 251C00000X (WY)
Child Physical Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2065X Licence 251C00000X (WY)

Registry record

NPI
1225366925
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Nov 2009
Record last updated
18 Nov 2009

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.