Healthcare Provider Details

I. General information

NPI: 1225945546
Provider Name (Legal Business Name): CAROLYN ELAINE WINTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 AVENUE B
CHEYENNE WY
82007-9719
US

IV. Provider business mailing address

7320 AVENUE B
CHEYENNE WY
82007-9719
US

V. Phone/Fax

Practice location:
  • Phone: 307-630-6747
  • Fax: 307-514-0742
Mailing address:
  • Phone: 307-630-6747
  • Fax: 307-514-0742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: