Individual
ALEXANDREA CAROLINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
4745 OGLETOWN-STANTON RD, MAP 1, SUITE 200, NEWARK, DE 19713
(302) 454-9800
Mailing address
1011 S 11TH ST APT 2R, PHILADELPHIA, PA 19147-3829
(860) 402-8805
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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