Gero-Psych Nursing, S.C.

Organization Active NPI Gerontology Nurse Practitioner · Lannon, WI

NPI 1790794329 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790794329
Entity type
Organization (NPI type 2)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
License
4-033 (WI)
Legal business name
GERO-PSYCH NURSING, S.C.
Practice address
19822 W Good Hope Rd
Lannon, WI 53046-9775
Phone
(262) 251-3808
NPI assigned
Aug 5, 2006
Organization subpart
No

Authorized official

Name
Dr. Beverly Sigl Felten, PHD, RN, APNP
Title
Ceo
Phone
(262) 251-3808

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LG0600X 4-033 WI Yes

Addresses

Primary practice location

19822 W Good Hope Rd
Lannon, WI 53046-9775

Mailing address

19822 W Good Hope Rd
Lannon, WI 53046-9775
Phone (262) 251-3808

Other providers in Lannon, WI

All providers in Lannon, WI · Gerontology Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.