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CONRAD WYNSTRA
NPI 1104643675
Counselor - Addiction (Substance Use Disorder) in Waukesha, WI

Active since September 25, 2024
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188(262) 549-6600(262) 549-6698 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conrad Wynstra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD WYNSTRA (NPI 1104643675) is an individual addiction (substance use disorder) provider in Waukesha, Wisconsin, licensed in Wisconsin (20673-130) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1104643675
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCONRAD WYNSTRA
Location Address2422 N GRANDVIEW BLVDWaukesha, WI 53188-6105
Mailing Address2422 N Grandview BlvdWaukesha, WI 53188-6105 · (262) 549-6600 · Fax (262) 549-6698
Phone(262) 549-6600
Fax(262) 549-6698
Sole ProprietorNo
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1104643675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 20673-130
2422 N GRANDVIEW BLVD, Waukesha, WI 53188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA M DERKSEN LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MAUREEN E BURKE LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
MARI CAMILLA HANG CSAC
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
ERIN MURPHY SAC-IT
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
LISA DIANE SHARKEY LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
DEBORAH LYNN ROZELLE LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
AMY MOLINSKI SAC-IT
Counselor (Addiction (Substance Use Disorder))
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600
VICTORIA CHAMPEAU LPN
Licensed Practical Nurse
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188
Waukesha County (262) 549-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Wynstra's NPI number?

The NPI number for Conrad Wynstra is 1104643675. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Conrad Wynstra located?

Conrad Wynstra practices at 2422 N Grandview Blvd, Waukesha, WI 53188. The listed phone number is (262) 549-6600.

What is Conrad Wynstra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Conrad Wynstra was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.