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NPI Code Detail

MEDICARE: MISS LATEISHA PRESCOTT APNP

MEDICARE:  MISS LATEISHA  PRESCOTT  APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner10005-33WI
2163WP0808XPsychiatric/Mental Health Registered Nurse176126-30WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609410364
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LATEISHA PRESCOTT APNP
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 262-999-3495
Fax Number :
Provider Business Practice Location Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-999-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 05/21/2026

Similar Medicare Providers

1922783547 — ANDREA DAWYDOWYCZ LPC
Practice Location Address:
10850 W PARK PL STE 100
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1497839922 — MS. MARIA CHRISTINE ERDMANN RODRIGUEZ LPC
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1184865347 — REGINA GOODMAN MSW, LCSW
Practice Location Address:
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53224-3636
Practice Phone: 262-542-3255
Practice Fax: 414-359-1021
1467723247 — DR. VANESSA HINTZ PSY.D.
Practice Location Address:
10850 W PARK PL STE 100
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53224-3636
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1316384126 — LAUREN DAMAI LCSW
Practice Location Address:
10850 W PARK PL STE 100
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1861819534 — GINA YAUCK
Practice Location Address:
10850 W PARK PL STE 100
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Practice Phone: 262-789-1191
Practice Fax: 414-359-1021

Directions to “ MISS LATEISHA PRESCOTT APNP” Practice Location

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