Individual
MR. SHEELEY ANDREW GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 WILLIAMS ST LOT 93, CHEYENNE, WY 82007-3637
(307) 772-1491
Mailing address
505 WILLIAMS ST LOT 93, CHEYENNE, WY 82007-3637
(307) 772-1491
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
WY
175T00000X
Peer Specialist
Primary
—
WY
Other
Enumeration date
08/07/2020
Last updated
10/09/2020
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