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Individual

EVELINE ANNE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
106 HYANNIS DR, HOLLY SPRINGS, NC 27540-8327
(919) 249-4700
Mailing address
5 SILVERWOOD CT, DURHAM, NC 27713-4345
(505) 400-1335

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5019236
NC

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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