Individual
ASHLEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7084
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9303648
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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