Individual
KRISTEN N RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2300 E CAPITOL DR, APPLETON, WI 54911-2790
(920) 830-5292
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-028806
IL
363L00000X
Nurse Practitioner
Primary
7518
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064737
—
WI
Enumeration date
02/10/2017
Last updated
07/16/2025
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