Healthcare Provider Details

I. General information

NPI: 1225150337
Provider Name (Legal Business Name): NATALIE M PITROSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 FISH HATCHERY RD
MADISON WI
53715-1911
US

IV. Provider business mailing address

1313 FISH HATCHERY RD
MADISON WI
53715-1911
US

V. Phone/Fax

Practice location:
  • Phone: 608-252-8000
  • Fax: 608-283-7193
Mailing address:
  • Phone: 608-252-8000
  • Fax: 608-283-7193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4049-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: