in Thiensville - Psychiatric/mental Health

- NPI 1255598140

is a Psychiatric/mental Health in Thiensville, Wisconsin. practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for is 1255598140. The last update date is .

's current location address is Po Box 639, Thiensville, Wisconsin. You can contact this provider via phone number 4142479005. The mailing address for is Po Box 639, Thiensville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 639, Thiensville, Wisconsin
Phone Number 4142479005
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1255598140
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 639
City Thiensville
State Wisconsin (WI)
Post Code 530920639
Phone Number 4142479005
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 7261-33
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1255598140 WI --

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