Prisma Health Pllc

NPI #1639947815 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1639947815
Entity Type: Organization
Organization Name: Prisma Health Pllc
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Dec 18, 2023
Last Updated: Dec 18, 2023

Practice Location

Address: 13500 WATERTOWN PLANK RD STE 102
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2222
Phone: (206) 785-1015

Authorized Official

Name: DR. SCOTT WIENER, MD
Title: MEDICAL DIRECTOR
Phone: (206) 939-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult	364SP0809X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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