Organization
OPEN RANGE TELEPSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA BRAY PMHNP (OWNER)
(812) 384-5237
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 7141, SHERIDAN, WY 82801-6362
(307) 278-7542
Mailing address
30 N GOULD ST STE 7141, SHERIDAN, WY 82801-6362
(307) 278-7542
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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