Individual
STEPHANIE L RUSKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3805 SPRING ST STE 240, MOUNT PLEASANT, WI 53405-1667
(262) 687-8108
Mailing address
5915 31ST AVE, KENOSHA, WI 53144-4103
(262) 515-4069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9815
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9815-33
WI
Other
Enumeration date
01/06/2020
Last updated
04/06/2026
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