| Serenity Psychiatry, Llc | |
|
298 E 1st St Fond Du Lac WI 54935-4357 | |
| (920) 315-3922 | |
| (920) 214-1076 |
| Full Name | Serenity Psychiatry, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 298 E 1st St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Joline Michelle Brotzman (PSYCHIATRIC NURSE PRACTICIONER) |
| Authorized Official Contact | 9203153922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Psychiatry, Llc 298 E 1st St Fond Du Lac WI 54935-4357 Ph: (920) 315-3922 | Serenity Psychiatry, Llc 298 E 1st St Fond Du Lac WI 54935-4357 Ph: (920) 315-3922 |
| NPI Number | 1952159899 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952159899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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