RUTHELL RENEE MCKINNEY


Address: 3136 N 21st St, Milwaukee, WI 53206-1723
Phone: 4148073491

RUTHELL RENEE MCKINNEY (NPI# 1861860983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861860983
Entity Type Individual
Full Name RUTHELL RENEE MCKINNEY
Other Name RUTHELL RENEE JOHNSON
Credential F.N.P
Practice Address 3136 N 21st St
Milwaukee
WI 53206-1723
Practice Telephone 4148073491
Mailing Telephone 4148073491
Enumeration Date 2015-09-04
Last Update Date 2015-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6640-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3136 N 21ST ST
City MILWAUKEE
State WI
Zip Code 53206-1723

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1093320459 Tyronda T Gray Nurse Practitioner 5833 N 117th St, Milwaukee, WI 53225-2207 2020-09-12
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1093276040 Danielle L Laczniak Nurse Practitioner 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 2019-03-30
1871066506 Lisa Ann Parker Nurse Practitioner 3237 S 16th St # 208, Milwaukee, WI 53215-4526 2019-01-04
1467922948 Gretchen Louise Grencer-liegel Nurse Practitioner 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 2018-11-28
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Competitor

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City MILWAUKEE
Zip Code 53206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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