Individual provider · Type 1 NPI

Krista Gail Russell, ARNP, FNP-C

Family Nurse Practitioner · Port Charlotte, FL

NPI number 1194132068 Active

Practice location

19531 Cochran Blvd
Port Charlotte, FL 33948-2081

Call (941) 235-3452 Map

Mailing address

23125 Hillsdale Ave
Port Charlotte, FL 33954-2455

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9269076 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1194132068

Krista Gail Russell, ARNP, FNP-C's National Provider Identifier is 1194132068, issued on Jul 12, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 12, 2014.