Individual provider · Type 1 NPI

Tylor Rockwell

Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI

NPI number 1336909100 Active

Practice location

1400 75th St
Kenosha, WI 53143-1544

Fax (262) 764-8048

Mailing address

5237 Roberts Dr
Greendale, WI 53129-2819

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X15171-33 (WI)
Nurse Practitioner 363L00000X15171-33 (WI)

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

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About NPI 1336909100

Tylor Rockwell's National Provider Identifier is 1336909100, issued on Mar 20, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kenosha, WI. The record was last updated on Jun 29, 2026.