Individual
NATALIA B RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(201) 893-9449
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(201) 893-9449
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR17248500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01215800
NJ
Other
Enumeration date
08/09/2021
Last updated
10/28/2021
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