Individual
MADISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1801
Mailing address
231 RAVINE DR, POCATELLO, ID 83204-4026
(360) 670-9047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04260453
ID
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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