Open Range Telepsychiatry LLC

NPI #1528558004 in Sheridan, Wyoming

Provider Information

NPI Number
1528558004
Entity Type
Organization
Organization Name
Open Range Telepsychiatry LLC
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
May 10, 2018
Last Updated
May 10, 2018

Practice Location

Address
30 N GOULD ST STE 7141
State
Wyoming
ZIP Code
82801-6362
Phone
(307) 278-7542

Authorized Official

Name
RONDA BRAY, PMHNP
Title
OWNER
Phone
(812) 384-5237

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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