Individual
EMILY BROOKE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-2868
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311786
NY
Other
Enumeration date
07/05/2024
Last updated
08/06/2025
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