Individual
LISA MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 784-4357
Mailing address
221 2ND ST SW, SPRING GROVE, MN 55974-1107
(612) 327-1592
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13401-33
WI
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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