Individual provider · Type 1 NPI

Bridget Rena Russell, RN, BS

Community Health Registered Nurse · St. Louis, MO

NPI number 1104986207 Active

Practice location

4000 Jennings Station Rd
St. Louis, MO 63121-3323

Fax (314) 679-7876

Specialties and licenses

Taxonomy	Code	License
Community Health Registered Nurse Primary	163WC1500X	2003027751 (MO)

Community Health Registered Nurse: Definition to come...

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About NPI 1104986207

Bridget Rena Russell, RN, BS's National Provider Identifier is 1104986207, issued on Dec 11, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.