| NPI | 1578370722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOKOTA LASHON BROWN Nurse Practitioner 262-945-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-11-16 |