Individual
SARAH ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
851 E 5TH ST STE 208, WASHINGTON, MO 63090-3129
(636) 239-8097
(636) 390-7308
Mailing address
98 RUSSELL RD, LONEDELL, MO 63060-1521
(314) 807-2753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2021042417
MO
Other
Enumeration date
08/17/2021
Last updated
10/17/2025
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