Individual provider · Type 1 NPI
Ladonna Sakina Russell, FNP
Family Nurse Practitioner · Willowbrook, IL
NPI number
1215508296
Active
Practice location
40 75th St
Willowbrook, IL 60527-2325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2020145890 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1215508296
Ladonna Sakina Russell, FNP's National Provider Identifier is 1215508296, issued on Jul 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Willowbrook, IL. The record was last updated on Nov 15, 2021.