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Individual

DANA MARIE RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
40900 MERCHANTS LN, SUITE 207, LEONARDTOWN, MD 20650-3700
(301) 997-0071
Mailing address
40900 MERCHANTS LN, SUITE 207, LEONARDTOWN, MD 20650-3700
(301) 997-0071

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R063357
MD

Other

Enumeration date
04/19/2007
Last updated
02/15/2010
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