IndividualActive
Charles Bivona
NPI 1508672163 · Registered Nurse · Cheyenne, WY
Provider details
- NPI number
- 1508672163
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 38708 (WY)
Specialties & taxonomies
Nursing Service Providers
Practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone: (307) 778-7550
Approximate (ZIP-level) locationGet directions
Mailing address
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.