Individual
MS. SHERRY A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN BC
Contact information
Practice address
1322 N RIVER RD, ST CLAIR, MI 48079
(810) 329-4798
(810) 329-7303
Mailing address
1322 N RIVER RD, ST CLAIR, MI 48079
(810) 329-4798
(810) 329-7303
Taxonomy
Speciality
Code
Description
License number
State
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704167606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740113
—
MI
Enumeration date
03/29/2006
Last updated
07/19/2010
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