Individual
KRISTA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 W STATE ROUTE 89A UNIT 2734, SEDONA, AZ 86336-6135
(480) 580-2024
Mailing address
190 W STATE ROUTE 89A UNIT 2734, SEDONA, AZ 86336-6135
(480) 580-2024
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN101071
AZ
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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