MEDICARE: MS. CAROL A ESTHERCHILD MS APNP PMH-NP

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	96103030	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1405033	WI
3	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	1405033	WI

General Provider Information

NPI Number	:	1952413122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL A ESTHERCHILD MS APNP PMH-NP

Provider Business Mailing Address
First Line	:	9455 W. WATERTOWN PLANK ROAD
Second Line	:	MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3559
Country	:	US
Telephone Number	:	414-257-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	9455 W. WATERTOWN PLANK ROAD
Second Line	:	MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3559
Country	:	US
Telephone Number	:	414-257-6995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/30/2008

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