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Search › Wyoming › 101YP2500X

Cassidy Provo, PPC

NPI 1942851019 · on the registry since 2019 · sole proprietor

Practice

Address
2241 Farnum St Ste 102
Casper, WY 82609
Phone
(307) 234-9979
Fax
(307) 234-9989
Organisation at this address
Integrity Mental Health, Llc
Vitality Medical Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming