Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandria Colleen Dattilo, APNP

Individual provider Nurse Practitioner · NPI 1497493845

Alexandria Colleen Dattilo, APNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2022, 4 years ago. Practices with Family Psychiatric Care LLC, a 6-clinician group. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1010 35th St
Kenosha, WI 53140-1902
Phone: (262) 725-4426
Fax: (262) 299-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11876-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 11876-33 (WI)

Record details

NPI number1497493845
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family Psychiatric Care Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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