Individual provider · Type 1 NPI

Heather Lee Russell, FNP

Primary Care Nurse Practitioner · Rochester, NY

NPI number 1124786520 Active

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Fax (585) 273-1129

Mailing address

601 Elmwood Avenue Box 679B
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Hand Surgery Physician 207XS0106X348860 (NY)
Primary Care Nurse Practitioner Primary 363LP2300XF3488601-01 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1124786520

Heather Lee Russell, FNP's National Provider Identifier is 1124786520, issued on Dec 2, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.