Individual
NICOLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5127 QUEENSWAY, HOWELL, MI 48843-7843
(517) 518-1726
Mailing address
5127 QUEENSWAY, HOWELL, MI 48843-7843
(517) 518-1726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704361543
MI
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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