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Organization
VITAL WAYS WELLNESS
Active
Organization
VITAL WAYS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA PINTER NP (OWNER)
(262) 448-3289
Entity
Organization
Contact information
Practice address
834 PIERCE PL, HARTFORD, WI 53027-9282
(262) 448-3289
Mailing address
N92W17420 APPLETON AVE, SUITE 103#402, MENOMONEE FALLS, WI 53051
(262) 448-3289
(262) 404-8256
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326777095
PROVIDER
WI
01
—
1841531571
PROVIDER-NICOLE
WI
Enumeration date
08/17/2022
Last updated
02/08/2023
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