Individual
RUSSELL PHAYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3260 TILLMAN DR STE 120, BENSALEM, PA 19020-2058
(215) 305-8834
Mailing address
3260 TILLMAN DR STE 120, BENSALEM, PA 19020-2058
(215) 305-8834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030398
PA
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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