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

Other providers in Evansville