Individual
ERIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
43145 SCHOENHERR RD UNIT 13, STERLING HEIGHTS, MI 48313-1955
(586) 997-5048
Mailing address
20211 BANNISTER DR, MACOMB, MI 48044-5943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704350764
MI
363L00000X
Nurse Practitioner
Primary
4704350764
MI
Other
Enumeration date
06/01/2021
Last updated
09/20/2023
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