Individual
SHARON S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
13000 BRUCE B. DOWNS BLVD., TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
14114 BALM BOYETTE ROAD, RIVERVIEW, FL 33569-9150
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9225623
FL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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