Organization · Type 2 NPI

Prisma Wellness, PLLC

Psychiatric/Mental Health Nurse Practitioner · Elm Grove, WI

NPI number 1114675162 Active

Practice location

13500 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2222

Fax (206) 785-1023

Mailing address

2031 Ridge End Rd
Virginia Beach, VA 23454-1028

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1114675162

Prisma Wellness, PLLC's National Provider Identifier is 1114675162, issued on Mar 17, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Elm Grove, WI. The record was last updated on Mar 17, 2022.