Individual
MICHELLE LEA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7322 NOEL RD, INDIANAPOLIS, IN 46278-1515
(877) 659-4555
Mailing address
7322 NOEL RD, INDIANAPOLIS, IN 46278-1515
(877) 659-4555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28162933A
IN
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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