OPEN RANGE TELEPSYCHIATRY LLC NPI 1528558004

NPI Information

  • NPI: 1528558004
  • Provider Name: OPEN RANGE TELEPSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 30 N GOULD ST STE 7141
    SHERIDAN, WY
    ZIP 82801
  • Phone: (307) 278-7542

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NPI Details

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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