Organization
SILVER SAGE PSYCHIATRY, LLC
Active
Other names
Silver Sage Psychiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISHA VANVLEET APRN-CNP, PMHNP-BC (CEO)
(307) 288-2329
Entity
Organization
Contact information
Practice address
724 FRONT ST STE 404, EVANSTON, WY 82930-3589
(307) 288-2328
Mailing address
724 FRONT ST STE 404, EVANSTON, WY 82930-3589
(307) 288-2328
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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