Healthcare Provider Details

I. General information

NPI: 1548178411
Provider Name (Legal Business Name): SARALENA ABEYTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 YELLOWSTONE RD UNIT 2
CHEYENNE WY
82009-4156
US

IV. Provider business mailing address

5801 PROVIDENCE PL
CHEYENNE WY
82001-7445
US

V. Phone/Fax

Practice location:
  • Phone: 307-365-3772
  • Fax:
Mailing address:
  • Phone: 307-365-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number59767
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: