Individual
MEREDITH RENEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. PNP
Contact information
Practice address
400 PARNASSUS AVE, 2ND FLOOR, SAN FRANCISCO, CA 94143-0434
(415) 353-7337
(415) 476-8214
Mailing address
513 PARNASSUS AVE # 672, BOX 0434, SAN FRANCISCO, CA 94143-0434
(415) 476-5349
(415) 476-8214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
707640
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
707640
CA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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