Provider Demographics
NPI:1245590405
Name:REUSS, JULIE PRIGIONI (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:PRIGIONI
Last Name:REUSS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W290S2837 CARMARTHEN DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-9507
Mailing Address - Country:US
Mailing Address - Phone:262-968-2438
Mailing Address - Fax:
Practice Address - Street 1:W290S2837 CARMARTHEN DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-9507
Practice Address - Country:US
Practice Address - Phone:262-968-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI109933-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse