Individual
DR. ANN B RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11602 W CENTER RD, SUITE 150, OMAHA, NE 68144-4440
(402) 991-7337
(402) 991-7373
Mailing address
11602 W CENTER RD, SUITE 150, OMAHA, NE 68144-4440
(402) 991-7337
(402) 991-7373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19783
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0961003
—
IA
05
—
1200147
—
NE
05
—
1200712
—
NE
05
—
1200713
—
NE
05
—
1200714
—
NE
05
—
1200715
—
NE
05
—
1201187
—
NE
05
—
1201468
—
NE
01
—
2932
MIDLANDS CHOICE
NE
01
—
30715
BCBS OF NE
NE
Enumeration date
11/28/2006
Last updated
08/25/2014
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