Individual
IYAKU TERRELL-RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6825 W BROWN DEER RD UNIT 241986, MILWAUKEE, WI 53224-6093
(414) 699-9034
Mailing address
6825 W BROWN DEER RD UNIT 241986, MILWAUKEE, WI 53224-6093
(414) 699-9034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165570-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7470-33
WI
Other
Enumeration date
09/22/2009
Last updated
07/16/2025
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