Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Grussendorf

Individual provider Case Manager/Care Coordinator · NPI 1619345477

Mary Grussendorf is a Case Manager/Care Coordinator in Evansville, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2015

Practice location Address checks out

721 Reshaw Cir
Evansville, WY 82636-9410
Phone: (307) 277-5401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 108766882 (WY)

Record details

NPI number1619345477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2015
Last updated in NPPESSeptember 10, 2015
Mailing address721 Reshaw Cir, Evansville, WY 82636-9410

Other providers in Evansville