Individual
MRS. AMY N. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298-5024
(804) 828-4104
Mailing address
417 N 11TH ST, RICHMOND, VA 23298-5024
(804) 828-4104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182841
VA
Other
Enumeration date
10/04/2021
Last updated
08/20/2024
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