Individual
NIESHA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 COLESVILLE RD STE 1100, SILVER SPRING, MD 20910-6346
(443) 383-9300
Mailing address
909 RIDGEBROOK RD, SPARKS, MD 21152-9474
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R188105
MD
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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