Individual
MRS. MOLLY ANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-4402
(608) 266-6075
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
(608) 833-0999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5065
WI
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
5065-33
WI
Other
Enumeration date
01/25/2010
Last updated
08/18/2023
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