Cedar Sage PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Fayette, IA
NPI 1619638293 · NPPES record last updated Jan 5, 2022
Key facts
- NPI
- 1619638293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CEDAR SAGE PLLC
- Practice address
- 143 S Main St
Fayette, IA 52142-7701 - Phone
- (319) 415-4728
- NPI assigned
- Jan 5, 2022
- Organization subpart
- No
Authorized official
- Name
- Miranda Franck, PMHNP
- Title
- Pmhnp
- Phone
- (319) 415-4728
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
143 S Main St
Fayette, IA 52142-7701
Mailing address
PO Box 26
Fairbank, IA 50629-0026
Phone (319) 415-4728
Other providers in Fayette, IA
- Kirk A Abernathy
- Shelly Lynn Abernathy
- Brieanna Barnes
- Evan Jay Bartusek
- Rachel Boeke
- Charming Smiles PC
- City of Fayette
- Colonial Manors of Fayette, Inc
- Kyle James Domin
- Jenna Marie Elsbernd
All providers in Fayette, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.