Silver Sage Psychiatry
Nurse Practitioner, Psych/Mental Health in Riverton, WY. Organization (NPI-2).
NPI number1164106969
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1164106969
- Entity type
- Organization (NPI-2)
- Legal business name
- Silver Sage Psychiatry
- Organization subpart
- No
- Enumeration date
- Jun 12, 2023
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
103 N 5th St ERiverton, WY 82501-4402
Phone 307-288-2328 · Fax 307-448-4606
Mailing address
11404 W Dodge Rd Ste 300Omaha, NE 68154-9603
Phone 307-288-2328 · Fax 307-448-4606
Authorized official
Marisha Lee Vanvleet
Owner
3072882328
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