Individual
MRS. DANIELLE L. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1550 WILDWOOD DR, PLAIN, WI 53577-9644
(608) 546-9834
Mailing address
5846 COUNTY ROAD J, MOUNT HOREB, WI 53572-1056
(608) 437-0510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173401-030
WI
Other
Enumeration date
08/06/2010
Last updated
12/18/2013
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