Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicole Johnson

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1346611332

Nicole Johnson is registered under Developmentally Disabled Services Day Training Agency in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2015
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Practice location Address checks out

4708 Van Buren Ave
Cheyenne, WY 82009-5645 Not confirmed with CMS for 11 years — call before visiting
Phone: (307) 214-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 107820-466 (WY)

Record details

NPI number1346611332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2015
Last updated in NPPESOctober 15, 2015

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