Individual
DANIELLE J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
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
06/26/2026
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