Individual
MS. CONSTANCE E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
268 STILLWATER AVENUE, ACADIA HOSPITAL CORP, BANGOR, ME 04401
(207) 973-6100
(207) 973-6109
Mailing address
PO BOX 422, ACADIA HOSPITAL CORP, BANGOR, ME 04402-0422
(207) 973-6100
(207) 973-6109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R023037
ME
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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