Individual
ALEXANDRA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-4000
Mailing address
19137 NEWHOUSE ST, CANYON COUNTRY, CA 91351-2836
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037520
CA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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