MISS LATEISHA PRESCOTT APNP NPI 1609410364

NPI Information

NPI: 1609410364
Provider Name: MISS LATEISHA PRESCOTT, APNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
34700 VALLEY RD
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 646-4411
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MISS Lateisha Prescott, APNP is a psychiatric/mental health nurse practitioner in Oconomowoc, WI with 5 years of experience. MISS Lateisha Prescott, APNP NPI is 1609410364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34700 VALLEY RD
OCONOMOWOC, WI
ZIP 53066-599
Phone: (262) 646-4411

The NPI 1609410364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	176126-30	WISCONSIN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	10005-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609410364	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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