PRISMA WELLNESS PLLC NPI 1114675162

NPI Information

NPI: 1114675162
Provider Name: PRISMA WELLNESS, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
13500 WATERTOWN PLANK RD STE 102
ELM GROVE, WI
ZIP 53122
Phone: (206) 785-1015
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PRISMA WELLNESS, PLLC is a psychiatric/mental health nurse practitioner in Elm Grove, WI. PRISMA WELLNESS, PLLC NPI is 1114675162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13500 WATERTOWN PLANK RD STE 102
ELM GROVE, WI
ZIP 53122-222
Phone: (206) 785-1015
Fax: (206) 785-1023

The provider's authorized official is Scott Wiener .
The authorized official title is Chief Medical Officer and has the following contact phone number (206) 785-1015.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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