Individual
MRS. PATRICIA ANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
19523 HILLTOP TRL, WARRENTON, MO 63383-4531
(636) 359-4336
Mailing address
19523 HILLTOP TRL, WARRENTON, MO 63383-4531
(636) 359-4336
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
144131
MO
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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