Organization
OASIS TELEPSYCHIATRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE E BENSON CRNP, ARNP, PMHNP-BC (CEO)
(928) 599-8785
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE # FLOORS12, MESA, AZ 85206-2569
(928) 599-8785
Mailing address
1712 PIONEER AVE STE 1658, CHEYENNE, WY 82001-4406
(928) 599-8785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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