NPI 1215944301 · live from the CMS NPI Registry
Alpha Family Medicine, INC.
Family Medicine in Cheyenne, WY. National Provider Identifier 1215944301, active.
NPI record
| NPI | 1215944301 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1202 Cleveland Ave, Cheyenne, WY 82001 |
| Practice phone | 307-632-6403 |
| Enumerated | August 2, 2006 |
| Last updated | September 10, 2007 |
| Authorized official | Kathleen Gates, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine primary | 207Q00000X | 5374A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.