| Prisma Wellness, Pllc | |
|
13500 Watertown Plank Rd Ste 102 Elm Grove WI 53122-2222 | |
| (206) 785-1015 | |
| (206) 785-1023 |
| Full Name | Prisma Wellness, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 13500 Watertown Plank Rd Ste 102, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Scott Wiener (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2067851015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Wellness, Pllc 2031 Ridge End Rd Virginia Beach VA 23454-1028 Ph: (206) 939-1456 | Prisma Wellness, Pllc 13500 Watertown Plank Rd Ste 102 Elm Grove WI 53122-2222 Ph: (206) 785-1015 |
| NPI Number | 1114675162 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114675162 | NPI | - | NPPES |
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