Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUDREY FAULSTICH, DNP, APRN, PMHNP-BC
Active Sole ProprietorDR. AUDREY FAULSTICH, DNP, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MADISON, Illinois. NPI 1811548035 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MADISON, IL
Registration Details
- NPI Number
- 1811548035
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2019 (6.8778672336103 yrs)
- Last Updated
- Nov 22, 2023
- License
-
209020154 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
925 MADISON AVE FRNTMADISON, IL, 620601316Browse IL providers · Browse ZIP 62060
- Phone
- 3146027340
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.