Individual
ANGELA L RUSSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 HEATH STAGE TER, SHELBURNE FALLS, MA 01370-9436
(413) 625-9717
(413) 625-9329
Mailing address
25 HEATH STAGE TER, SHELBURNE FALLS, MA 01370-9436
(413) 625-9717
(413) 625-9329
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2272735
MA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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