Individual
ANISTON N RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-0110
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9564906
FL
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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