Individual
DANIELLE J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
(781) 878-6750
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298796
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2298796
MA
Other
Enumeration date
02/18/2016
Last updated
03/10/2021
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