Individual provider · Type 1 NPI

Mara A. Bazdaric-Russell, FNP

Family Nurse Practitioner · Potsdam, NY

NPI number 1316245236 Active

Practice location

12 Elm St
Potsdam, NY 13676-2166

Fax (315) 353-2479

Mailing address

50 Leroy St
Potsdam, NY 13676-1786

Other practice locations

  • 50 Leroy St, Potsdam, NY 13676-1786 · (315) 261-5954

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X336641 (NY)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1316245236

Mara A. Bazdaric-Russell, FNP's National Provider Identifier is 1316245236, issued on Mar 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Potsdam, NY. The record was last updated on Jul 22, 2026.