Individual
MISS IMELDA TIVIDAD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6510 KENILWORTH AVE STE 2500, RIVERDALE, MD 20737-1346
(410) 997-1907
Mailing address
6510 KENILWORTH AVE STE 2500, RIVERDALE, MD 20737-1346
(109) 971-9074
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AC000309
MD
Other
Enumeration date
09/14/2006
Last updated
10/01/2018
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