Individual provider · Type 1 NPI
Elissa Russell, APN, CNP
Family Nurse Practitioner · Rockford, IL
NPI number
1225316722
Active
Practice location
1340 Charles St, Suite 300
Rockford, IL 61104
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209008946 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209008946 (IL) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Rockford
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About NPI 1225316722
Elissa Russell, APN, CNP's National Provider Identifier is 1225316722, issued on Aug 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Jul 27, 2018.