Individual
MRS. ELISSA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNP
Contact information
Practice address
1340 CHARLES ST, SUITE 300, ROCKFORD, IL 61104
(779) 696-5888
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209008946
IL
363LF0000X
Family Nurse Practitioner
Primary
209008946
IL
Other
Enumeration date
08/01/2011
Last updated
07/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us