Provider Demographics
NPI:1720300981
Name:ADVANCED PRACTICE PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:ADVANCED PRACTICE PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN/PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:ANGLIN
Authorized Official - Last Name:GARCIA-PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:307-789-2899
Mailing Address - Street 1:637 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-3520
Mailing Address - Country:US
Mailing Address - Phone:307-789-2899
Mailing Address - Fax:307-789-3480
Practice Address - Street 1:637 FRONT ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930-3520
Practice Address - Country:US
Practice Address - Phone:307-789-2899
Practice Address - Fax:307-789-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY21426.1034363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty