Individual
CHRISTY KULLMAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
8988 FERN PARK DR, BURKE, VA 22015-1635
(703) 978-6061
Mailing address
28 14TH ST NE, WASHINGTON, DC 20002-8437
(571) 294-9655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173139
VA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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