Individual
MS. KAREN J RUSSELL
Active
Individual
MS. KAREN J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
LZ0000110
DE
363LF0000X
Family Nurse Practitioner
LG0000540
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568415909
—
DE
Enumeration date
05/18/2006
Last updated
10/12/2012
Update your record
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