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
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311786 (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.