Individual provider · Type 1 NPI
Anna Marie Russell, FNP
Family Nurse Practitioner · Weaverville, CA
NPI number
1003578642
Active
Practice location
31 Easter Ave
Weaverville, CA 96093-8054
Fax (530) 623-4397
Mailing address
PO Box 190930
Boise, ID 83719-0930
Other practice locations
- 4300 E Flamingo Ave, Nampa, ID 83687-3138 · (208) 463-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 8471097 (ID) |
| Family Nurse Practitioner Primary | 363LF0000X | 95026495 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Weaverville
About NPI 1003578642
Anna Marie Russell, FNP's National Provider Identifier is 1003578642, issued on Oct 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Weaverville, CA. The record was last updated on Jul 10, 2026.