Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MIRANDA ELIZABETH BLAJSZCZAK, RN
Active Sole ProprietorBehavioral Health, Residential · CASPER, WY
Registration Details
- NPI Number
- 1679893655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2010 (15.922686220348 yrs)
- Last Updated
- May 31, 2011
- License
-
22824 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2340 S COFFMAN AVECASPER, WY, 826043521Browse WY providers · Browse ZIP 82604
- Phone
- 3072656698
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Behavioral Health, Residential
Other Behavioral Health, Residential Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| MR. FLOYD DALE WILMES II | OTRL | 1346302023 |
| MRS. SUSAN KAY KOLLMANN | RN | 1003960600 |
| MRS. ELLA LOUISE SUCHER | — | 1285756189 |
| RICK JUDE LAMOTTE | — | 1952531279 |
| JENNIFER LEIGH RYERSON-HEATON | — | 1669706412 |
| SHANNON LEE HEATON | — | 1851625214 |
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.