Individual
MS. SADIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1850
(406) 327-1875
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1850
(406) 329-2659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-104257
MT
Other
Enumeration date
06/22/2016
Last updated
05/11/2021
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