Mrs La Shandra Nichelle Young, REGISTERED NURSE - Registered Nurse in Milwaukee, WI

Mrs La Shandra Nichelle Young, REGISTERED NURSE is a Registered Nurse - Case Management based in Milwaukee, Wisconsin. Mrs La Shandra Nichelle Young is licensed to practice in Wisconsin (license number 139406) and her current practice location is 5731 W Roosevelt Dr, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 403-1611.

NPI number for Mrs La Shandra Nichelle Young is 1689339293 and her current mailing address is Po Box 76068, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689339293.

Contact Information

Mrs La Shandra Nichelle Young, REGISTERED NURSE
5731 W Roosevelt Dr,
Milwaukee, WI 53216-3155
(414) 403-1611
Not Available

Map and Direction




Provider's Profile

Full NameMrs La Shandra Nichelle Young
GenderFemale
SpecialityRegistered Nurse - Case Management
Location5731 W Roosevelt Dr, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689339293
  • Provider Enumeration Date: 11/08/2021
  • Last Update Date: 11/08/2021

Medical Identifiers

Medical identifiers for Mrs La Shandra Nichelle Young such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689339293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management 139406 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs La Shandra Nichelle Young is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs La Shandra Nichelle Young, REGISTERED NURSE
Po Box 76068,
Milwaukee, WI 53216-7668

Ph: (414) 403-1611
Mrs La Shandra Nichelle Young, REGISTERED NURSE
5731 W Roosevelt Dr,
Milwaukee, WI 53216-3155

Ph: (414) 403-1611

Reviews and Comments


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