IndividualActive
Alexandria Dattilo, APNP
NPI 1497493845 · Psychiatric/Mental Health Nurse Practitioner · Kenosha, WI
Provider details
- NPI number
- 1497493845
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 11876-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1010 35th St
Kenosha, WI 53140-1902
Phone: (262) 725-4426
Fax: (262) 299-7136
Approximate (ZIP-level) locationGet directions
Mailing address
1010 35th St
Kenosha, WI 53140-1902
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.