Individual
TAMALA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 348-1195
Mailing address
1033 NW 124TH AVE, PEMBROKE PINES, FL 33026-4320
(754) 244-4393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9270405
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9270405
FL
Other
Enumeration date
12/06/2012
Last updated
07/01/2024
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