Individual
COURTNEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5750 W THUNDERBIRD RD STE C300, GLENDALE, AZ 85306-4666
(855) 485-4673
Mailing address
13149 W CLIFFROSE RD, PEORIA, AZ 85383-2269
(623) 512-3015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F12210398
AZ
Other
Enumeration date
01/02/2022
Last updated
03/05/2022
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