Individual
KRISTEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RNFA
Contact information
Practice address
300A FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1280
(508) 973-2211
(508) 973-1105
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2286989
MA
Other
Enumeration date
07/31/2015
Last updated
11/11/2020
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