Individual
HEATHER MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2210 HEWITT AVE STE 203, EVERETT, WA 98201-3767
(425) 689-1212
(425) 276-8202
Mailing address
2210 HEWITT AVE STE 203, EVERETT, WA 98201-3767
(425) 689-1212
(425) 276-8202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60774952
WA
363LF0000X
Family Nurse Practitioner
AP70026937
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP70026937
WA
Other
Enumeration date
10/24/2018
Last updated
12/02/2025
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