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Alexandria Colleen Dattilo, APNP
Psychiatric/Mental Health Nurse Practitioner in Kenosha, Wisconsin
NPI 1497493845

Alexandria Colleen Dattilo is a Psychiatric/Mental Health Nurse Practitioner based in Kenosha, WI and is specialized in Psychiatric/Mental Health. Alexandria Colleen Dattilo practices in Kenosha, WI and has the professional credentials of APNP. The NPI Number for Alexandria Colleen Dattilo is 1497493845 and holds a License No. 11876-33 (Wisconsin).

The current practice location address for Alexandria Colleen Dattilo is 1114 56Th St, Kenosha, WI and can be reached out via phone at 262-725-4426. You can also correspond with Alexandria Colleen Dattilo through the mailing address at 1114 56TH ST, KENOSHA, WI - 53140-3668 (mailing address contact number: 262-725-4426).

Location: 1114 56Th St, Kenosha, WI, 53140-3668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497493845
Provider Name
Alexandria Colleen Dattilo
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
1114 56Th St, Kenosha, WI, 53140-3668
Phone Number
262-725-4426
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1114 56Th St
City
Kenosha
State
Wisconsin
Zip
53140-3668
Phone Number
262-725-4426
Fax Number
person
Provider Business Mailing Address Details
Address
1114 56Th St
City
Kenosha
State
Wisconsin
Zip
53140-3668
Phone Number
262-725-4426
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
11876-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
11876-33 (Wisconsin)
Definition
Definition to come...
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