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Silver Sage Psychiatry, LLC — NPI 1619629912, Evanston, WY | NPI Central

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NPI 1619629912

OrganizationActive

Silver Sage Psychiatry, LLC

NPI 1619629912 · Psychiatric/Mental Health Clinical Nurse Specialist · Evanston, WY

Provider details

NPI number: 1619629912
Entity type: Organization
Primary specialty: Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Marisha Vanvleet, Ceo(307) 288-2329

Specialties & taxonomies

Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0808X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

724 Front St Ste 404

Evanston, WY 82930-3589

Phone: (307) 288-2328

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

724 Front St Ste 404

Evanston, WY 82930-3589

Other names (DBA / former)

Doing business as: Silver Sage Psychiatry LLC

Registry dates

Enumerated: 2022-01-19
Last updated: 2022-01-19
Certified: 2022-01-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.