Individual
MS. CLAIRE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
122 SOUTHERN DR, ASHDOWN, AR 71822-8668
(870) 898-6940
Mailing address
310 COUNTRY RD 1105, MAUD, TX 75567
(903) 280-2813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
653437
TX
363LF0000X
Family Nurse Practitioner
Primary
A001783
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205407758
—
AR
Enumeration date
07/25/2010
Last updated
10/12/2021
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