Individual
ISABELLA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-7059
Mailing address
25 HALE DR, WINDSOR, CT 06095-3206
(413) 244-0048
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12957
CT
Other
Enumeration date
03/13/2024
Last updated
10/31/2024
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