Individual
DR. ANDREA NICOLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
428 WINDMERE DR, SUITE 100, STATE COLLEGE, PA 16801-7644
(814) 234-2015
(814) 238-5300
Mailing address
428 WINDMERE DR, SUITE 100, STATE COLLEGE, PA 16801-7644
(814) 234-2015
(814) 238-5300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002367
PA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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