Healthcare Provider Details

I. General information

NPI: 1841580735
Provider Name (Legal Business Name): APRIL L FALZONE PPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 E. 18TH STREET
CHEYENNE WY
82001
US

IV. Provider business mailing address

7086 DORSEY RD
CHEYENNE WY
82009-8447
US

V. Phone/Fax

Practice location:
  • Phone: 307-637-7906
  • Fax: 307-632-2346
Mailing address:
  • Phone: 307-635-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number858
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW 223
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: