Healthcare Provider Details

I. General information

NPI: 1780033431
Provider Name (Legal Business Name): ELIZABETH C ARMSTRONG PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 CROSSROADS DR STE 4000
MADISON WI
53718
US

IV. Provider business mailing address

883 CHANDLER LN
SUN PRAIRIE WI
53590-4442
US

V. Phone/Fax

Practice location:
  • Phone: 855-300-9893
  • Fax: 855-300-9893
Mailing address:
  • Phone: 608-443-6645
  • Fax: 855-300-9893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9713-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number174010-30
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9713-33
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number174010-30
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number174010-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: