Individual
LAURA NOELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DIVISION OF NEONATOLOGY, 2200 CHILDRENS WAY, NASHVILLE, TN 37232
(615) 322-3475
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0000055703
TN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55703
TN
Other
Enumeration date
04/21/2014
Last updated
03/16/2022
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