Individual
JULIA MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
317 W SUMMERFIELD CIR, ANAHEIM, CA 92802-4771
(714) 343-3168
Mailing address
317 W SUMMERFIELD CIR, ANAHEIM, CA 92802-4771
(714) 343-3168
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032698
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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