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Individual

CHRISTINA M RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC

Contact information

Practice address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 603-8800
(810) 577-7222
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
(810) 249-4037

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704208697
MI

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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