Vantassell, Martha

Vantassell, Martha is an individual health care provider with primary practice located at 510 W 29Th St , Cheyenne WY 82001-2760. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Vantassell, Martha can be contacted via phone (307) 632-9362.

Contact Information

Primary practice address
510 W 29Th St Cheyenne WY 82001-2760
Phone: (307) 632-9362
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 29775 Wyoming
Nursing Service Providers / Registered Nurse 163W00000X 29775 Wyoming

Profile Details

NPI number 1942755293
LBN Legal business name Vantassell, Martha
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942755293 NPPES
Wyoming Other 1902259203 NPI

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