Organization
SILVER SAGE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISHA LEE VANVLEET APRN-CNP, PMHNP-BC (OWNER)
(307) 288-2328
Entity
Organization
Contact information
Practice address
103 N 5TH ST E, RIVERTON, WY 82501-4402
(307) 288-2328
(307) 448-4606
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(307) 288-2328
(307) 448-4606
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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