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Individual
MRS. RACHEL RUSSELL
Active
Individual
MRS. RACHEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01330700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
761006511A
IN
Other
Enumeration date
09/14/2016
Last updated
07/15/2022
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