Provider Demographics
NPI:1023640851
Name:SENIOR NURSE PRACTITIONER CONSULTANTS
Entity type:Organization
Organization Name:SENIOR NURSE PRACTITIONER CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:SEHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN
Authorized Official - Phone:385-210-6253
Mailing Address - Street 1:PO BOX 2011
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84091-2011
Mailing Address - Country:US
Mailing Address - Phone:385-210-6253
Mailing Address - Fax:385-388-1003
Practice Address - Street 1:5802 S 900 E # 3
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1644
Practice Address - Country:US
Practice Address - Phone:801-897-9836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty