Individual provider · Type 1 NPI
Daniel James Russell, NP
Nurse Practitioner · Burlington, WI
Practice location
677 E State St
Burlington, WI 53105-1639
Mailing address
8610 45th Ave
Kenosha, WI 53142-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 13237-33 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1639933484
Daniel James Russell, NP's National Provider Identifier is 1639933484, issued on Feb 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burlington, WI. The record was last updated on Feb 12, 2024.