Individual
MRS. PATRICIA LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6500 UNIVERSITY AVE, SUITE 100, DES MOINES, IA 50324-1607
(515) 279-1959
(515) 289-0888
Mailing address
1501 50TH ST STE 110, WEST DES MOINES, IA 50266-5940
(515) 237-3974
(888) 503-7693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-102064
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457304446
WELLMARK BCBS
IA
05
—
1457304446
—
IA
01
—
P01016712
RR MEDICARE
IA
Enumeration date
08/20/2010
Last updated
11/21/2025
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