Organization · Type 2 NPI
Broadway Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Waukesha, WI
NPI number
1033052212
Active
Practice location
S23W23187 E Broadway
Waukesha, WI 53186
Fax (414) 296-8740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Waukesha
About NPI 1033052212
Broadway Psychiatry LLC's National Provider Identifier is 1033052212, issued on Apr 13, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukesha, WI. The record was last updated on Apr 13, 2026.