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NPI Code Detail

MEDICARE: ADREANNA LEIGH PHILLIPS

MEDICARE: ADREANNA LEIGH PHILLIPS
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
1171M00000XCase Manager/Care CoordinatorWY

General Provider Information

NPI Number : 1396608121
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADREANNA LEIGH PHILLIPS
Provider Business Mailing Address
First Line : 510 W 29TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-2760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 510 W 29TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-2760
Country : US
Telephone Number : 307-632-9362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/09/2025

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Directions to “ ADREANNA LEIGH PHILLIPS ” Practice Location

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