Individual
MRS. JUDITH KAY RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-4975
(720) 974-4993
Mailing address
6747 XENON DR, ARVADA, CO 80004-2227
(303) 422-9663
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
59305
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59305
NURSING
CO
Enumeration date
02/15/2006
Last updated
07/08/2007
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