Provider Demographics
NPI:1699184739
Name:HEALTHWORKS
Entity Type:Organization
Organization Name:HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:WENZEL
Authorized Official - Last Name:VECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-635-3618
Mailing Address - Street 1:201 SEQUOIA CIR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5807
Mailing Address - Country:US
Mailing Address - Phone:970-443-2377
Mailing Address - Fax:
Practice Address - Street 1:2508 E FOX FARM RD
Practice Address - Street 2:1-1A
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-2559
Practice Address - Country:US
Practice Address - Phone:307-635-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY363LF0000X261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care