Individual provider · Type 1 NPI

Angella M.a. Russell, AGPCNP

Gerontology Nurse Practitioner · Richmond, VA

NPI number 1245637818 Active

Practice location

2104 W Laburnum Ave
Richmond, VA 23227

Fax (804) 354-8075

Mailing address

PO Box 91734
Richmond, VA 23291-1734

Other practice locations

  • 1250 E Marshall St, Richmond, VA 23298-5051 · (804) 354-8108

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024172203 (VA)
Adult Health Nurse Practitioner 363LA2200X0024172203 (VA)

Gerontology Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1245637818

Angella M.a. Russell, AGPCNP's National Provider Identifier is 1245637818, issued on Nov 26, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Richmond, VA. The record was last updated on Jun 28, 2018.