DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WADE MATTHEW BRENNAN

Active Sole Proprietor

Community Health Worker · DOUGLAS, WY

Registration Details

NPI Number
1780962001
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2011 (14.716504264275 yrs)
Last Updated
Aug 3, 2011
Sole Proprietor
Yes

Practice Information

Address
1841 MADORA AVE
DOUGLAS, WY, 826333057
Browse WY providers · Browse ZIP 82633
Phone
3073582846
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in DOUGLAS, WY

Name Credential NPI
SARAH E WITBROD 1477883494
MRS. PATTI COBB 1003147018
SHARON TAYLOR 1649501354
REBECCA MAIDL 1902137599
MR. CODY ALAN WATSON 1992036289
MISS JULIE D RICHARDS 1669703963
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.