Organization
BLUE SKY MENTAL HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI WHITE DNP (NURSE PRACTITIONER)
(608) 556-3813
Entity
Organization
Contact information
Practice address
6666 ODANA RD # 323, MADISON, WI 53719-1012
(608) 556-3813
Mailing address
6666 ODANA RD # 323, MADISON, WI 53719-1012
(608) 556-3813
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072321
—
WI
Enumeration date
05/20/2021
Last updated
05/20/2021
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