# EXCALIBUR PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346100229
- **Authorized official:** AMANDA WISIAN PMHNP-BC, LPC, NCC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (720) 446-6987

## Contact information

- **Practice address:** 3412 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-5575
- **Practice address phone:** (319) 382-8660
- **Mailing address:** 1324 LINDENBROOK LN, MARION, IA 52302-4783
- **Mailing address phone:** (720) 446-6987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2025
- **Last updated:** 11/13/2025