Individual provider · Type 1 NPI

Emily Brooke Russell

Adult Health Nurse Practitioner · Malone, NY

NPI number 1114763455 Active

Practice location

15 4th St
Malone, NY 12953-1340

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Other practice locations

  • 146 Louey Rd, Dickinson Center, NY 12930-1723 · (518) 651-7491
  • 133 Park St, Malone, NY 12953-1244 · (518) 483-3000

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF311786 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114763455

Emily Brooke Russell's National Provider Identifier is 1114763455, issued on Jul 5, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Malone, NY. The record was last updated on Aug 6, 2025.