Organization
INDIGO HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MARIE PETERS APNP, FNP, PMHNP-BC (OWNER)
(920) 796-9831
Entity
Organization
Contact information
Practice address
139 E 2ND ST STE U-2, KAUKAUNA, WI 54130-2420
(920) 796-9831
(866) 311-2371
Mailing address
139 E 2ND ST STE U-2, KAUKAUNA, WI 54130-2420
(920) 796-9831
(866) 311-2371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
01/02/2024
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