Individual
DENISE CHARMAINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10640 OLD GROVE CIR, BRADENTON, FL 34212-2605
(941) 730-0635
(941) 708-9308
Mailing address
10640 OLD GROVE CIR, BRADENTON, FL 34212-2605
(941) 730-0635
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9293182
FL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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