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Organization

OBSIDIAN INTEGRATIVE PSYCHIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CUI-MING LI DNP-PMHNP (OWNER)
(608) 692-5828
Entity
Organization

Contact information

Practice address
9517 SILVERSTONE LN, VERONA, WI 53593-9185
(608) 692-5828
Mailing address
9517 SILVERSTONE LN, VERONA, WI 53593-9185
(608) 692-5828

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/03/2026
Last updated
06/03/2026
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