Individual
MISS LATOYA LASHAE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
922 FAIRFAX PARK, TUSCALOOSA, AL 35406
(205) 391-9300
(205) 391-9374
Mailing address
922 FAIRFAX PARK, TUSCALOOSA, AL 35406
(205) 391-9300
(205) 391-9374
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-095107
AL
Other
Enumeration date
04/08/2010
Last updated
02/01/2024
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