Fatima Cheniidaan Martel, CAPA
Community Health Worker in Arapaho, WY. Individual provider (NPI-1).
NPI number1962079293
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1962079293
- Entity type
- Individual (NPI-1)
- Name
- Fatima Cheniidaan Martel
- Credential
- CAPA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
24 Great Plains RoadArapaho, WY 82510
Phone 307-856-0470
Mailing address
Po Box 190St Stephens, WY 82524-0190
Phone 307-856-0470
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