Individual provider · Type 1 NPI

Tangella E. Russell, CNP

Family Nurse Practitioner · Fayetteville, GA

NPI number 1275637639 Active

Practice location

1267 Highway 54 W, Suite 2200
Fayetteville, GA 30214-2114

Fax (770) 716-0087

Mailing address

20 Francis Way, Suite 101
Sharpsburg, GA 30277

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN 116405 (GA)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1275637639

Tangella E. Russell, CNP's National Provider Identifier is 1275637639, issued on Sep 7, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 15, 2010.