OPEN RANGE TELEPSYCHIATRY LLC NPI 1528558004

NPI Information

NPI: 1528558004
Provider Name: OPEN RANGE TELEPSYCHIATRY LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
30 N GOULD ST STE 7141
SHERIDAN, WY
ZIP 82801
Phone: (307) 278-7542
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OPEN RANGE TELEPSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Sheridan, WY. OPEN RANGE TELEPSYCHIATRY LLC NPI is 1528558004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 N GOULD ST STE 7141
SHERIDAN, WY
ZIP 82801-362
Phone: (307) 278-7542

The provider's authorized official is Ronda Bray .
The authorized official title is Owner and has the following contact phone number (812) 384-5237.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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