Individual
MS. CARRIE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3600 GASTON AVE STE 404, DALLAS, TX 75246-1804
(694) 820-5516
Mailing address
3600 GASTON AVE STE 404, DALLAS, TX 75246-1804
(469) 820-5516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134155
TX
Other
Enumeration date
07/24/2014
Last updated
03/18/2025
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