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Individual
LAURA RUSSELL
Active
Individual
LAURA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN11001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166248
BETTER HEALTH PLANS
TN
01
—
34427
TLC
TN
05
—
3723214
—
TN
01
—
4103819
BC/BS
TN
Enumeration date
10/04/2005
Last updated
07/08/2007
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