Provider Demographics
NPI:1184325763
Name:SPRECHER, KARIS ANN-MYCHELE (CNA)
Entity type:Individual
Prefix:
First Name:KARIS
Middle Name:ANN-MYCHELE
Last Name:SPRECHER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MONROE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-5134
Mailing Address - Country:US
Mailing Address - Phone:307-212-1527
Mailing Address - Fax:
Practice Address - Street 1:125 MONROE AVE APT B
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-5134
Practice Address - Country:US
Practice Address - Phone:307-212-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health