Individual
ERIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 200, MAPLEWOOD, MN 55109-1190
(651) 326-4327
Mailing address
4491 W 131ST ST, SAVAGE, MN 55378-1691
(952) 715-0486
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12920
MN
Other
Enumeration date
07/30/2025
Last updated
11/11/2025
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