PRISMA WISCONSIN LLC

ELM GROVE, WI
NPI1497519979
Entity TypeOrganization
Authorized ContactSCOTT WIENER
Medical Director
206-939-1079
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
Enumeration Date2024-02-06
Last Update Date2024-02-06
Business Address
PRISMA WISCONSIN LLC
13500 WATERTOWN PLANK RD STE 102
ELM GROVE, WI 53122-2222
Phone number: 206-785-1015
Mailing Address
PRISMA WISCONSIN LLC
2031 RIDGE END RD
VIRGINIA BEACH, VA 23454-1028
Phone number: 206-939-1079
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