Individual
TANYA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407
(806) 744-7223
(806) 740-3325
Mailing address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
735250
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122632
TX
Other
Enumeration date
02/06/2014
Last updated
03/26/2024
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