Provider Demographics
NPI:1922621143
Name:FRANKHOUSER, AVERY MARIA CARDIEL
Entity Type:Individual
Prefix:
First Name:AVERY
Middle Name:MARIA CARDIEL
Last Name:FRANKHOUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9143 CLEAR SKY DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-9742
Mailing Address - Country:US
Mailing Address - Phone:307-631-6627
Mailing Address - Fax:
Practice Address - Street 1:3701 RIDGE RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-1739
Practice Address - Country:US
Practice Address - Phone:307-778-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator