OrganizationActive
Lgbtq Telepsychiatry
NPI 1336722859 · Psychiatric/Mental Health Nurse Practitioner · Sheridan, WY
Provider details
- NPI number
- 1336722859
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Jonathan Shaw, Owner
Practice location
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Phone: (888) 985-4287
Mailing address
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.