Provider / Organization | NPI | Date Certified |
---|---|---|
SHERISSA-NICOLE MARTINEZ SEBASTIAN | 1487313698 | 2021-12-15 |
Sherissa-nicole Martinez Sebastian is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487313698. Registration indicates Sherissa-nicole Martinez Sebastian is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Registered Nurse Psych/Mental Health, Nursing Service Providers) (Registered Nurse, ) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Sherissa-nicole Martinez Sebastian DNP, PMHNP-BC, APRN |
Other Provider Name | Sherissa-nicole Sebastian Manganello |
Practice Office Address | 12041 TEJON ST WESTMINSTER, CO US |
Practice Office Telephone | 3039937356 |
Mailing Address | 1670 E CHEYENNE MOUNTAIN BLVD STE F COLORADO SPRINGS, CO 809064002 US |
Business Telephone | 7208081082 |
Business Fax | 7192471788 |
Address | City / State | Phone / Fax |
---|---|---|
1955 Abbington St | Colorado Springs, CO 809104496 | 7208081082 / 7192471788 |
3475 Briargate Blvd Ste 201 | Colorado Springs, CO 809204188 | 8666446131 / 7194349615 |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 95106933
CA |
163WP0808X | Nursing Service Providers Registered Nurse Registered Nurse: Psych/Mental Health All Other Specialties & Provider Types Registered Nurse Psych/Mental Health Nursing Service Providers Registered Nurse | 1644417
CO |
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 0998119
CO |