Individual
KRISTEN MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 JEREMIAH V SULLIVAN DR, FALL RIVER, MA 02721-6812
(508) 672-0107
Mailing address
1920 COUNTY ST, SOMERSET, MA 02726-5402
(508) 269-8474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN282284
MA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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