Individual
MRS. HELEN KIRBY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, SUITE 400, COLUMBIA, SC 29203-6849
(803) 434-6392
Mailing address
25 CORONET DR, COLUMBIA, SC 29206-1314
(803) 787-9161
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2333
SC
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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