Individual provider · Type 1 NPI

Holly L. Russell, NP

Nurse Practitioner · Bedford, IN

NPI number 1104338623 Active

Practice location

2900 16th St
Bedford, IN 47421-3510

Mailing address

550 S Landmark Ave
Bloomington, IN 47403-3239

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71007594A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104338623

Holly L. Russell, NP's National Provider Identifier is 1104338623, issued on Oct 25, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bedford, IN. The record was last updated on Aug 13, 2019.