Individual
MS. KASIE L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
38176 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 444-7311
(813) 488-0011
Mailing address
PO BOX 7062, WESLEY CHAPEL, FL 33545-0100
(813) 444-7311
(813) 488-0011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9268544
FL
363LP2300X
Primary Care Nurse Practitioner
9268544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9268544
APRN
FL
Enumeration date
01/23/2008
Last updated
03/07/2023
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