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Contact Information

ELLEN LARICCIA, RN, CDE
214 E 23RD ST
CHEYENNE, WY82001-3748
 Phone: 307-633-7982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for ELLEN LARICCIA · (Female)

NPI Number 1700088499
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 06/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 24488
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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