Individual
ANN-MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11458 KINGS HWY, KING GEORGE, VA 22485-4200
(540) 775-2284
Mailing address
11458 KINGS HWY, KING GEORGE, VA 22485-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177226
VA
Other
Enumeration date
02/01/2019
Last updated
09/08/2025
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