Individual
HANNAH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2800 L ST, SACRAMENTO, CA 95816-5616
(440) 539-6491
Mailing address
8136 RYLAND DR, EL DORADO HILLS, CA 95762-9452
(440) 539-6491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95239867
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95018691
CA
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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