Individual
HANNAH RUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE, STOP A, FORT BRAGG, NC 28310-0001
(910) 907-9179
Mailing address
2817 ROCK MERRITT AVE, STOP A, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-21164
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
06/11/2018
Last updated
01/22/2026
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