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Individual

MR. ADRIAN THOMAS RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, RN, FNP-BC

Contact information

Practice address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
(919) 845-5276
Mailing address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
(919) 845-5276

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013059
NC

Other

Enumeration date
02/28/2020
Last updated
04/22/2020
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