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Organization
PROVIDENCE PSYCHIATRY SERVICES, LTD.
Active
Organization
PROVIDENCE PSYCHIATRY SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M VANEPS APRN (PSYCHIATRIC NURSE PRACTITIONER)
(218) 398-1998
Entity
Organization
Contact information
Practice address
502 SE 10TH ST, GRAND RAPIDS, MN 55744-3921
(218) 246-6286
Mailing address
12860 MUD LAKE RD NE, BOX 631, DEER RIVER, MN 56636-2174
(218) 398-1998
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CNP2221
MN
Other
Enumeration date
06/08/2016
Last updated
12/10/2025
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