Individual
CHRISTINE ANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
27472 SCHOENHERR RD STE 100, WARREN, MI 48088-6675
(586) 751-8844
(586) 751-8596
Mailing address
2302 BENJAMIN AVE, ROYAL OAK, MI 48073-3793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704309660
MI
363LP2300X
Primary Care Nurse Practitioner
4704309660
MI
Other
Enumeration date
10/22/2019
Last updated
08/19/2025
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