Individual
ELIZABETH DENISE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1375 HARES HILL RD, KIMBERTON, PA 19442
(610) 933-0708
Mailing address
26 SWAN DR, MORGANTOWN, PA 19543-9328
(949) 306-3642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5010898.
NC
363LF0000X
Family Nurse Practitioner
Primary
SP025080
PA
Other
Enumeration date
08/28/2018
Last updated
02/28/2024
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