Individual
MRS. SANTAY SHAW RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4237 SALT SPRINGS LN, LAKELAND, FL 33811-1893
(954) 470-5460
Mailing address
4237 SALT SPRINGS LN, LAKELAND, FL 33811-1893
(954) 470-5460
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11045383
FL
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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