Individual
MS. PATRICIA ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(615) 268-2177
(770) 723-8428
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(615) 268-2177
(770) 723-8428
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
75570
TN
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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