Individual
PATRICIA S RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
Mailing address
PO BOX 932005, CLEVELAND, OH 44193-0001
(216) 861-6200
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.12177-NP
OH
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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