Individual
ALLISON KAY SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
W4671 STARKS RD, OWEN, WI 54460-7905
(715) 741-0086
Mailing address
W4671 STARKS RD, OWEN, WI 54460-7905
(715) 741-0086
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15841-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15841-33
APNP LICENSE
WI
Enumeration date
12/09/2024
Last updated
12/09/2024
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