Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY GRUSSENDORF
Active Sole ProprietorMARY GRUSSENDORF is a Case Manager healthcare provider located in EVANSVILLE, Wyoming. NPI 1619345477 is currently active in the NPPES registry. Verify at CMS.
Case Manager · EVANSVILLE, WY
Registration Details
- NPI Number
- 1619345477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2015 (10.886571708552 yrs)
- Last Updated
- Sep 10, 2015
- License
-
108766882 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 RESHAW CIREVANSVILLE, WY, 826369410Browse WY providers · Browse ZIP 82636
- Phone
- 3072775401
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in EVANSVILLE, WY
| Name | Credential | NPI |
|---|---|---|
| AUNKIA CHRISTINA FOWLER | — | 1366781122 |
| MAIKOU THAO | — | 1891112074 |
| BRENDA KOEHN | — | 1003299819 |
| WENDY CHEEK | BSW | 1417314675 |
| MELISSA CAMPBELL | — | 1821536749 |
| SHEILA FRISBY | COTA/L/CM | 1457037855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.