Individual
ELENA AKSELRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 N IVY CT UNIT 2, MEQUON, WI 53092-5027
(414) 828-8344
Mailing address
10640 N IVY CT UNIT 2, MEQUON, WI 53092-5027
(414) 828-8344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175989
WI
363LF0000X
Family Nurse Practitioner
Primary
7489-33
WI
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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