Individual
MEGAN LEIGH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3999 DUTCHMANS LN STE 3C, LOUISVILLE, KY 40207-4747
(502) 899-6842
(502) 899-6852
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1146075
KY
363LF0000X
Family Nurse Practitioner
Primary
3013257
KY
Other
Enumeration date
09/20/2019
Last updated
01/31/2025
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