Individual
LISA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
26 NESBITT RD STE 253, NEW CASTLE, PA 16105-3414
(724) 652-2323
(724) 654-3461
Mailing address
26 NESBITT RD STE 253, NEW CASTLE, PA 16105-3414
(724) 652-2323
(724) 654-3461
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024940
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024940
CRNP LICENSE
PA
Enumeration date
11/25/2021
Last updated
07/25/2024
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