# ANGELA P RUSSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902826993
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP1082342 | FL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1082342 | FL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | 082342 | FL | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 09/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3050742-00 | — | FL |