Individual
MRS. MONIQUE YEVETTE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1522 N 33RD ST, MILWAUKEE, WI 53208-2301
(414) 254-8650
Mailing address
1522 N 33RD ST, MILWAUKEE, WI 53208-2301
(414) 254-8650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224762-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
224762-30
WI
Other
Enumeration date
08/01/2013
Last updated
03/06/2024
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