Prisma Wellness, Pllc, NPI 1114675162
Psychiatric/Mental Health Nurse Practitioner in Elm Grove, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114675162
NPI Entity Type Organization
Provider Name Prisma Wellness, Pllc
Subpart of Organization Prisma Wellness, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 13500 Watertown Plank Rd Ste 102, Elm Grove, WI, US
Provider Mailing Address 2031 Ridge End Rd, Virginia Beach, VA, US, 234541028
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Scott Wiener
Official Position CHIEF MEDICAL OFFICER
Phone 206-785-1015

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

363LP0808X

Taxonomy Name Psychiatric/Mental Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

Description Definition to come...

Other Organization Name

Prisma Wellness, PLLC
Doing Business As

Business Address

Prisma Wellness, Pllc
13500 Watertown Plank Rd Ste 102

Elm Grove, WI, US

Phone: 206-785-1015
Fax: 206-785-1023

Mailing Address

Prisma Wellness, Pllc
2031 Ridge End Rd
Virginia Beach, VA, US
ZIP 234541028
Phone: 206-939-1456
Fax: 206-785-1023

Secondary Taxonomies

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
OTHERS 2067851023 Secure Fax Yes 305 111th Ave NE Ste B, Bellevue, WA, US

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