Individual
MISS EMILY ALICE PRISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 FORDEM AVE, MADISON, WI 53704-4600
(608) 280-2740
(608) 280-2775
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194404-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
194404-30
WI
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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