Individual
MS. RUTH DRAZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(262) 253-7081
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(262) 253-7081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
99066
WI
364S00000X
Clinical Nurse Specialist
Primary
3610
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001863302D
HUMANA
—
05
—
1962453944
—
WI
05
—
41263400
—
WI
Enumeration date
05/13/2006
Last updated
06/05/2021
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