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NPI Code Detail

MEDICARE: EMILY BROPHY

MEDICARE: EMILY BROPHY
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
1101Y00000XCounselorPPC-1396WY

General Provider Information

NPI Number : 1902595390
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BROPHY
Provider Business Mailing Address
First Line : 2020 E GRAND AVE STE 410
Second Line :
City : LARAMIE
State : WY
Zip : 82070-4380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 E GRAND AVE STE 410
Second Line :
City : LARAMIE
State : WY
Zip : 82070-4380
Country : US
Telephone Number : 307-760-6889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 06/22/2023

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Directions to “ EMILY BROPHY ” Practice Location

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