Individual
MRS. DANA MARIEA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1303 WALKER SCHOOL RD, MARYVILLE, TN 37803-8736
(865) 724-7378
Mailing address
1303 WALKER SCHOOL RD, MARYVILLE, TN 37803-8736
(865) 724-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33490
TN
363LF0000X
Family Nurse Practitioner
Primary
33490
TN
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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