La Shandra Nichelle Young, Registered Nurse
Registered Nurse, Case Management in Milwaukee, WI. Individual provider (NPI-1).
NPI number1689339293
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1689339293
- Entity type
- Individual (NPI-1)
- Name
- Mrs. La Shandra Nichelle Young
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2021
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 139406 | WI | Yes |
Practice location
5731 W Roosevelt DrMilwaukee, WI 53216-3155
Phone 414-403-1611
Mailing address
Po Box 76068Milwaukee, WI 53216-7668
Phone 414-403-1611
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