Therese Ann Alm, APNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Delafield, WI

NPI 1104394535 · NPPES record last updated Nov 3, 2018

Key facts

NPI
1104394535
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
8435-33 (WI)
Practice address
383 Williamstowne Ste 101
Delafield, WI 53018-2332
Phone
(262) 337-9770
Fax
(262) 337-9771
NPI assigned
Nov 3, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8435-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Donath Psychological Services S C Past Accepting new patients
Gals Institute, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8435-33 WI Yes

Addresses

Primary practice location

383 Williamstowne Ste 101
Delafield, WI 53018-2332

Mailing address

383 Williamstowne Ste 101
Delafield, WI 53018-2332
Phone (262) 337-9770

Other providers in Delafield, WI

All providers in Delafield, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.