Whalio Doctors

NPI 1619629912

Silver Sage Psychiatry, LLC

Organisation Psychiatric/Mental Health Clinical Nurse Specialist Evanston, WY

Practice location

Address
724 Front St STE 404, Evanston, WY 82930-3589
Phone
(307) 288-2328

Authorised official

Name
Marisha Vanvleet
Title
Ceo
Phone
(307) 288-2329

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X

Registry record

NPI
1619629912
Entity type
Organization
NPI issued
19 Jan 2022
Record last updated
19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.