Individual
RUSSELL VAN STROUD
Active
Individual
RUSSELL VAN STROUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A03633
AR
363LA2100X
Acute Care Nurse Practitioner
F430548-1
NY
363LA2100X
Acute Care Nurse Practitioner
NP19209
CA
Other
Enumeration date
09/24/2010
Last updated
04/03/2012
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