Organization
MONOGRAM HEALTH PROFESSIONAL SERVICES OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN L VERNER (GENERAL COUNSEL & SECRETARY)
(615) 994-1889
Entity
Organization
Contact information
Practice address
2810 CROSSROADS DR STE 4000, MADISON, WI 53718-8014
(615) 673-4455
(615) 432-4651
Mailing address
5410 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-8087
(615) 465-8684
(629) 240-6003
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
174400000X
Specialist
—
—
1835C0206X
Cardiology Pharmacist
—
—
207Q00000X
Family Medicine Physician
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/05/2022
Last updated
01/29/2025
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