Individual provider · Type 1 NPI
Kristen Russell
Nurse Practitioner · Mesa, AZ
Practice location
4555 E Inverness Ave Bldg 3
Mesa, AZ 85206-4630
Mailing address
PO Box 30388
Mesa, AZ 85275-0388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 322281 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1295614931
Kristen Russell's National Provider Identifier is 1295614931, issued on Aug 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 28, 2025.