Individual
CASSANDRA A RIVERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 638-0300
(307) 638-0394
Mailing address
PO BOX 2476, CHEYENNE, WY 82003-2476
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19253.705
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024962200
—
NE
05
—
115279300
—
WY
01
—
308213
BLUE CROSS BLUE SHIELD
WY
Enumeration date
05/18/2006
Last updated
08/17/2016
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