IndividualActive
Destiny Tyler
NPI 1619487964 · Case Management Agency · Cheyenne, WY
Provider details
- NPI number
- 1619487964
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
503 Shoshoni St Apt a
Cheyenne, WY 82009-4251
Phone: (307) 421-9081
Approximate (ZIP-level) locationGet directions
Mailing address
503 Shoshoni St Apt a
Cheyenne, WY 82009-4251
Registry dates
- Enumerated
- 2017-10-01
- Last updated
- 2017-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.