Individual
ABIGAIL EDDINS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 FOREST LN STE C106, DALLAS, TX 75230-6831
(972) 566-5255
Mailing address
7777 FOREST LN STE C106, DALLAS, TX 75230-6831
(972) 566-5564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1022193
TX
363LA2100X
Acute Care Nurse Practitioner
1022193
TX
Other
Enumeration date
05/21/2021
Last updated
07/16/2021
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