| Wevolve Llc | |
|
2321 Dunn Ave Cheyenne WY 82001-3214 | |
| (307) 314-9789 | |
| Not Available |
| Full Name | Wevolve Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2321 Dunn Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Kirbie Brown (OWNER) |
| Authorized Official Contact | 3073149789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wevolve Llc 2321 Dunn Ave Cheyenne WY 82001-3214 Ph: (307) 314-9789 | Wevolve Llc 2321 Dunn Ave Cheyenne WY 82001-3214 Ph: (307) 314-9789 |
| NPI Number | 1336717644 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 2961854922 |
|---|---|
| Medicare Enrollment ID | O20240116002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336717644 | NPI | - | NPPES |
| Provider Name | Abigail K Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073808283 PECOS PAC ID: 4486952199 Enrollment ID: I20160413001690 |
| Provider Name | Kirbie L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609410547 PECOS PAC ID: 6507218567 Enrollment ID: I20240213001291 |
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