KRISTEN N RUSSELL

ASHWAUBENON, WI
NPI1306384268
Former NameKRISTEN N SCHMITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  7518)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209-028806)
Enumeration Date2017-02-10
Last Update Date2024-07-17
Business Address
KRISTEN N RUSSELL APNP
2301 S ONEIDA ST
ASHWAUBENON, WI 54304-5230
Phone number: 920-497-7783
Mailing Address
KRISTEN N RUSSELL APNP
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 920-497-7783