Individual
DR. AMANDA KATHLEEN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
1400 N US HIGHWAY 441 STE 942, THE VILLAGES, FL 32159-6813
(352) 751-4958
Mailing address
2125 AITKIN LOOP, LEESBURG, FL 34748-2955
(435) 590-3818
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11014385
FL
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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