Individual
MRS. LA SHANDRA NICHELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5731 W ROOSEVELT DR, MILWAUKEE, WI 53216-3155
(414) 403-1611
Mailing address
PO BOX 76068, MILWAUKEE, WI 53216-7668
(414) 403-1611
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
139406
WI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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