Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 10823-33 | WI |
NPI | 1003493487 |
---|---|
Provider Name | Erin Ashley Christmas |
First Address | Milwaukee, WI 53202-1407 |
Second Address | Madison, WI 53716-2257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2021 |
Last Update Date | 24/03/2021 |