LARISSA ANN CERVANTES

SHEBOYGAN, WI
NPI1861229833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  16009-33)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WI  16009-33)
Enumeration Date2024-09-16
Last Update Date2025-02-21
Business Address
LARISSA ANN CERVANTES PMHNP-BC
3425 SUPERIOR AVE
SHEBOYGAN, WI 53081-1863
Phone number: 920-496-4700
Mailing Address
LARISSA ANN CERVANTES PMHNP-BC
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700