Individual
MS. DEIDRE MICHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
(352) 332-7222
(352) 332-7330
Mailing address
724 NW 43RD ST, GAINESVILLE, FL 32607-6110
(352) 332-7222
(352) 332-7330
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1757432
FL
Other
Enumeration date
04/25/2007
Last updated
11/08/2024
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