Organization · Type 2 NPI
Conscious Practice, LLC
Psychiatric/Mental Health Nurse Practitioner · La Crosse, WI
NPI number
1235779240
Active
Practice location
119 19th St N
La Crosse, WI 54601-3724
Mailing address
505 King St Ste 218
La Crosse, WI 54601-4289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1235779240
Conscious Practice, LLC's National Provider Identifier is 1235779240, issued on Jan 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Crosse, WI. The record was last updated on May 19, 2020.