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Maryanna L. Mulholland

Community Health Worker in Rawlins, WY. Individual provider (NPI-1).

NPI number1104120252
StatusActive
Last updated in NPPESJan 4, 2011

Details

NPI
1104120252
Entity type
Individual (NPI-1)
Name
Maryanna L. Mulholland
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2011
Last updated
Jan 4, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

721 W Maple St
Rawlins, WY 82301-5447

Phone 307-324-7156 · Fax 307-328-1651

Mailing address

721 W Maple St
Rawlins, WY 82301-5447

Phone 307-324-7156 · Fax 307-328-1651

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Rawlins, WY

All 17 Community Health Worker providers in Rawlins · All 241 providers in Rawlins

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