Individual
MARTHA KATHLEEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
146 EAST HOSPITAL DR, 140, WEST COLUMBIA, SC 29169-4800
(803) 936-7230
(803) 936-8097
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20237
SC
363LA2200X
Adult Health Nurse Practitioner
20237
SC
363LG0600X
Gerontology Nurse Practitioner
20237
SC
363LP2300X
Primary Care Nurse Practitioner
20237
SC
Other
Enumeration date
07/21/2016
Last updated
06/02/2025
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