MARTHA VANTASSELL RN NPI 1942755293

NPI Information

NPI: 1942755293
Provider Name: MARTHA VANTASSELL, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
311 SOUTHERN VIEW DR
CHEYENNE, WY
ZIP 82007
Phone: (307) 287-4857
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Martha Vantassell, RN is a case management registered nurse in Cheyenne, WY. Martha Vantassell, RN NPI is 1942755293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

311 SOUTHERN VIEW DR
CHEYENNE, WY
ZIP 82007-605
Phone: (307) 287-4857
Fax: (307) 514-3110

The enumeration date for this NPI number is 8/16/2016 and was last updated on 8/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	29775	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1902259203	OTHER	WYOMING	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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