Mackenzie Riebennacht
Community Health Worker in Evanston, WY. Individual provider (NPI-1).
NPI number1033481908
StatusActive
Last updated in NPPESFeb 7, 2012
Details
- NPI
- 1033481908
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Riebennacht
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Feb 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
196 Arrowhead Dr Ste 6Evanston, WY 82930-8752
Phone 307-789-4224 · Fax 307-789-4225
Mailing address
196 Arrowhead Dr Ste 6Evanston, WY 82930-8752
Phone 307-789-4224 · Fax 307-789-4225
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All 51 Community Health Worker providers in Evanston · All 520 providers in Evanston
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