Individual
MORGAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 GRANDVIEW ST, MOUNT CARMEL, TN 37645-3687
(304) 910-6508
Mailing address
216 GRANDVIEW ST, MOUNT CARMEL, TN 37645-3687
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
239811
TN
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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