Individual
ANGELA MICHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-7781
Mailing address
1412 SHORESIDE DR, HENDERSONVILLE, TN 37075-5849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000153356
TN
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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