Individual
MICHELLE RENEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 930-7673
(402) 930-7974
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 930-7673
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
46540
NE
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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