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Individual
REVA MICHELLE RUSS
Active
Individual
REVA MICHELLE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183254
VA
Other
Enumeration date
12/21/2021
Last updated
04/22/2025
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