Individual
SEAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2000
Mailing address
8330 S PORT DR, WEST CHESTER, OH 45069-9635
(201) 218-5574
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152466
OH
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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