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Organization
SLAINTE CLINIC
Active
Organization
SLAINTE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MARIE WORTH DNP, APNP, PMHNP-BC (NP/OWNER)
(414) 520-3783
Entity
Organization
Contact information
Practice address
140 NORTH AVE, HARTLAND, WI 53029-1716
(920) 944-8474
Mailing address
140 NORTH AVE, HARTLAND, WI 53029-1716
(920) 944-8474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
09/23/2026
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