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Individual
SHERYL A RUSSELL
Active
Individual
SHERYL A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128257
L&I
WA
05
—
9617622
—
WA
Enumeration date
07/19/2006
Last updated
08/06/2013
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