Organization
ASPIRING HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOSSART (ADMINISTRATOR)
(608) 472-9720
Entity
Organization
Contact information
Practice address
2286 PINE DR, FRIENDSHIP, WI 53934-9348
(608) 472-9720
Mailing address
2286 PINE DR, FRIENDSHIP, WI 53934-9348
(608) 472-9720
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
02/12/2024
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