Individual
GABRIELLE KAKUSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1312 BARBERRY DR STE 110, JANESVILLE, WI 53545-0589
(608) 758-1944
Mailing address
1312 BARBERRY DR STE 110, JANESVILLE, WI 53545-0589
(608) 758-1944
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
264386-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578234902
—
WI
Enumeration date
07/25/2022
Last updated
07/25/2022
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