Individual
ERICA M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
600 PRIMROSE ST STE 202, HAVERHILL, MA 01830-2659
(978) 556-0100
(978) 556-0101
Mailing address
24 MORRILL PL STE 2, AMESBURY, MA 01913-3530
(978) 834-8074
(978) 834-8077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
045794-23-03
NH
367A00000X
Advanced Practice Midwife
Primary
045794-23
NH
367A00000X
Advanced Practice Midwife
RN227640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340521
—
NH
01
—
4001541Y0NH01
ANTHEM
NH
Enumeration date
02/09/2006
Last updated
07/17/2024
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