Individual
ALYSSA MARIE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, RN
Contact information
Practice address
12167 SHERIDAN BLVD, BROOMFIELD, CO 80020-2417
(615) 425-4200
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0999059-NP
CO
Other
Enumeration date
08/02/2023
Last updated
08/22/2023
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