NPI 1164214821 · live from the CMS NPI Registry
Elite Medical And Vitality LLC
Family Medicine in Sheridan, WY. National Provider Identifier 1164214821, active.
NPI record
| NPI | 1164214821 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801 |
| Practice phone | 559-331-1649 |
| Enumerated | May 20, 2025 |
| Last updated | May 20, 2025 |
| Authorized official | David Davis, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.