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NPI Code Detail

MEDICARE: WESLEY CHAUNCEY

MEDICARE: WESLEY CHAUNCEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1336002815
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY CHAUNCEY
Provider Business Mailing Address
First Line : 3322 STRAHAN PKWY
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-9162
Country : US
Telephone Number : 307-638-8182
Fax Number :
Provider Business Practice Location Address
First Line : 3322 STRAHAN PKWY
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-9162
Country : US
Telephone Number : 307-638-8182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ WESLEY CHAUNCEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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