Individual provider · Type 1 NPI

Natasha Coriell Russell

Family Nurse Practitioner · San Diego, CA

NPI number 1417898685 Active

Practice location

1425 Frazee Rd
San Diego, CA 92108-4347

Mailing address

310 A St
San Diego, CA 92101-4258

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN95240535 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1417898685

Natasha Coriell Russell's National Provider Identifier is 1417898685, issued on Apr 2, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Apr 2, 2026.