Individual
EMILY A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1867 AMHERST ST, WINCHESTER, VA 22601-2801
(540) 667-8724
(540) 723-0741
Mailing address
148 LINDEN DR, SUITE 101, WINCHESTER, VA 22601-6902
(540) 504-0075
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001174
VA
Other
Enumeration date
06/23/2006
Last updated
06/14/2016
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