Individual provider · Type 1 NPI
Dana Mariea Russell, FNP-BC
Family Nurse Practitioner · Maryville, TN
NPI number
1306547476
Active
Practice location
1303 Walker School Rd
Maryville, TN 37803-8736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 33490 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 33490 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306547476
Dana Mariea Russell, FNP-BC's National Provider Identifier is 1306547476, issued on Mar 15, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, TN. The record was last updated on Mar 15, 2023.