Individual
MRS. ERIN RACHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
5633 TYLERSVILLE RD STE B, MASON, OH 45040-2533
(513) 622-9595
(134) 437-7774
Mailing address
5633 TYLERSVILLE RD STE B, MASON, OH 45040-2533
(513) 622-9595
(134) 437-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13245-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
RN.336271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639444052
UNSURE
OH
Enumeration date
03/19/2012
Last updated
08/24/2023
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