Provider Demographics
NPI:1841580735
Name:FALZONE, APRIL L (PPC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:L
Last Name:FALZONE
Suffix:
Gender:F
Credentials:PPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7086 DORSEY RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-8447
Mailing Address - Country:US
Mailing Address - Phone:307-635-8747
Mailing Address - Fax:
Practice Address - Street 1:507 E. 18TH STREET
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-637-7906
Practice Address - Fax:307-632-2346
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY858101Y00000X
WYCSW 2231041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator