Individual
CHRISTINE ELAINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 RIVERVIEW AVE STE 400, NORFOLK, VA 23510-1065
(757) 622-5325
(757) 625-6743
Mailing address
14 W RIVERPOINT DR, HAMPTON, VA 23669-1072
(757) 262-9405
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024178539
VA
Other
Enumeration date
12/05/2019
Last updated
12/03/2021
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