Minerva Bravo
Community Health Worker in Worland, WY. Individual provider (NPI-1).
NPI number1649688367
StatusActive
Last updated in NPPESJul 25, 2014
Details
- NPI
- 1649688367
- Entity type
- Individual (NPI-1)
- Name
- Minerva Bravo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2014
- Last updated
- Jul 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
510 S 5th St.Worland, WY 82401-3725
Phone 307-347-6165 · Fax 307-347-6166
Mailing address
401 S 23rd StWorland, WY 82401-3725
Phone 307-347-6165 · Fax 307-347-6166
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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.
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All 62 Community Health Worker providers in Worland · All 298 providers in Worland
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