Individual
ANNA MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
31 EASTER AVE, WEAVERVILLE, CA 96093-8054
(530) 623-4186
(530) 623-4397
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8471097
ID
363LF0000X
Family Nurse Practitioner
Primary
95026495
CA
Other
Enumeration date
10/12/2021
Last updated
07/10/2026
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