Individual
DORIS YVONNE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC,NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
81784-9
MN
Other
Enumeration date
10/10/2007
Last updated
10/20/2015
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