Individual
ELIZABETH WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 E 19TH ST, CHEYENNE, WY 82001-4121
(970) 230-2273
Mailing address
1925 E 19TH ST, CHEYENNE, WY 82001-4121
(970) 230-2273
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/22/2025
Last updated
03/26/2025
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