Individual provider · Type 1 NPI

Tilly Burroughs, APNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI

NPI number 1669109641 Active

Practice location

1010 35th St
Kenosha, WI 53140-1902

Fax (262) 299-7136

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X13216-33 (WI)
Nurse Practitioner 363L00000X13216-33 (WI)

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

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About NPI 1669109641

Tilly Burroughs, APNP, PMHNP-BC's National Provider Identifier is 1669109641, issued on Aug 1, 2022. 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 Mar 17, 2025.