Individual
LINDA S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 904, LOUISVILLE, KY 40202-3841
(502) 589-3844
(502) 589-0516
Mailing address
100 EAST LIBERTY, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 540-3339
(502) 479-1425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004726
KY
363L00000X
Nurse Practitioner
4726P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100478420
—
KY
Enumeration date
03/24/2006
Last updated
03/20/2018
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