Organization
EXCALIBUR PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WISIAN PMHNP-BC, LPC, NCC (PSYCHIATRIC NURSE PRACTITIONER)
(720) 446-6987
Entity
Organization
Contact information
Practice address
3412 CENTER POINT RD NE, CEDAR RAPIDS, IA 52402-5575
(319) 382-8660
Mailing address
1324 LINDENBROOK LN, MARION, IA 52302-4783
(720) 446-6987
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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