Individual
DEBRA LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 359-3030
(412) 359-3060
Mailing address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 359-3030
(412) 359-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021399
PA
Other
Enumeration date
04/09/2021
Last updated
09/29/2021
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