Individual provider · Type 1 NPI
Mary Russell, FNP
Family Nurse Practitioner · San Marcos, CA
NPI number
1265837025
Active
Practice location
1519 Clifftop Ave
San Marcos, CA 92078-1075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | FNP 95000801 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265837025
Mary Russell, FNP's National Provider Identifier is 1265837025, issued on Oct 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Marcos, CA. The record was last updated on Oct 22, 2014.