Healthcare Provider Details

I. General information

NPI: 1922928753
Provider Name (Legal Business Name): ALEXIS MITCHELL MSN, APNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 W SCHROEDER DR
BROWN DEER WI
53223-1475
US

IV. Provider business mailing address

432 HICKORY ST
BELGIUM WI
53004-9432
US

V. Phone/Fax

Practice location:
  • Phone: 414-355-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14328
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18547
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: