Healthcare Provider Details

I. General information

NPI: 1326583428
Provider Name (Legal Business Name): AISHLING ANNE WATSON FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 RAYOVAC DRIVE SUITE 103
MADISON WI
53711-5371
US

IV. Provider business mailing address

2805 FRISEE DR
FITCHBURG WI
53711-8503
US

V. Phone/Fax

Practice location:
  • Phone: 608-238-5826
  • Fax: 608-238-1221
Mailing address:
  • Phone: 608-886-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041422735
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277000050
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7418-33
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number181757-30
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2113513
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6526
License Number StateMN
# 7
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7418-33
License Number StateWI
# 8
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277000050
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: