Individual
BROOKE ANA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
10344 WATER CREST DR, FISHERS, IN 46038-7477
(317) 490-2709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28230630A
IN
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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