Individual
MRS. SAMARA DEVA RUSSELL
Active
Individual
MRS. SAMARA DEVA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
004763
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ0107800
NJ
363LG0600X
Gerontology Nurse Practitioner
CAPRN00529
RI
364SX0106X
Occupational Health Clinical Nurse Specialist
4763
CT
Other
Enumeration date
09/07/2011
Last updated
08/04/2021
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