Individual
MARISHA LEE VANVLEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(402) 898-1113
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(307) 228-2328
(833) 581-2421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
114001
NE
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
32026
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114001
2ND APRN LICENS
NE
01
—
48489
LICENSE
WY
Enumeration date
08/24/2021
Last updated
12/18/2025
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