Individual
NANCY P RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
440 E CENTRAL ST, FRANKLIN, MA 02038-1374
(508) 528-2700
(508) 528-5759
Mailing address
124 GROVE ST, SUITE 305, FRANKLIN, MA 02038-3156
(508) 528-5392
(508) 541-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
123
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67907
FALLON
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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