Individual provider · Type 1 NPI

Christy Kullman Russell, N.P.-C

Family Nurse Practitioner · Burke, VA

NPI number 1407212095 Active

Practice location

8988 Fern Park Dr
Burke, VA 22015-1635

Mailing address

28 14th St NE
Washington, DC 20002-8437

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024173139 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1407212095

Christy Kullman Russell, N.P.-C's National Provider Identifier is 1407212095, issued on Jan 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burke, VA. The record was last updated on Jan 12, 2016.