Individual provider · Type 1 NPI
Latricia Russell, NP-C
Primary Care Nurse Practitioner · Fresno, TX
NPI number
1144752437
Active
Practice location
2510 Shadow Oaks Dr
Fresno, TX 77545-6070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP133485 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1144752437
Latricia Russell, NP-C's National Provider Identifier is 1144752437, issued on Mar 28, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fresno, TX. The record was last updated on Mar 28, 2017.