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Miss Lateisha Prescott, APNP
Psychiatric/Mental Health Nurse Practitioner in Oconomowoc, Wisconsin
NPI 1609410364

Lateisha Prescott is a Psychiatric/Mental Health Nurse Practitioner based in Brown Deer, WI and is specialized in Psychiatric/Mental Health. Lateisha Prescott practices in Oconomowoc, WI and has the professional credentials of APNP. The NPI Number for Lateisha Prescott is 1609410364 and holds a License No. 176126-30 (Wisconsin).

The current practice location address for Lateisha Prescott is 34700 Valley Rd, Oconomowoc, WI and can be reached out via phone at 262-646-4411.

Location: 34700 Valley Rd, Oconomowoc, WI, 53223-6458
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Provider Profile Details
NPI Number
1609410364
Provider Name
Lateisha Prescott
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
34700 Valley Rd, Oconomowoc, WI, 53223-6458
Phone Number
262-646-4411
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609410364 05 WI
institution
Provider Business Practice Location Address Details
Address
34700 Valley Rd
City
State
Zip
53066-4599
Phone Number
262-646-4411
Fax Number
person
Provider Business Mailing Address Details
Address
34700 Valley Rd
City
State
Zip
53066-4599
Phone Number
262-646-4411
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
10005-33 (Wisconsin)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
176126-30 (Wisconsin)
Definition
Definition to come...
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