Vanvleet, Marisha Lee

Vanvleet, Marisha Lee is an sole proprietor health care provider with primary practice located at 724 Front St Ste 404 , Evanston WY 82930-3589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vanvleet, Marisha Lee can be contacted via phone (307) 288-2328.

Contact Information

Primary practice address
724 Front St Ste 404 Evanston WY 82930-3589
Phone: (307) 288-2328
Fax: (307) 448-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 32026 Wyoming

Profile Details

NPI number 1730856147
LBN Legal business name Vanvleet, Marisha Lee
Credentials APRN-CNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2021
Last updated Jun 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730856147 NPPES
Nebraska Other 114001 2ND APRN LICENS

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