Lookup NPI Numbers from the NPI Registry
NPI Profile for PRISMA WELLNESS PLLC in ELM GROVE, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1114675162 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/17/2022 | |
| Last updated | 03/17/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PRISMA WELLNESS, PLLC
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PRISMA WELLNESS, PLLC