Individual provider · Type 1 NPI

Bridget Lynn Russell

Nurse Practitioner · Grand Rapids, MI

NPI number 1467008342 Active

Practice location

100 Michigan St NE Ste 4297
Grand Rapids, MI 49503-2560

Call (616) 267-7900 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Other practice locations

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 · (704) 384-9437
  • 601 John St Ste M-124, Kalamazoo, MI 49007-5377 · (269) 341-7500

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X4704211779 (MI)
Nurse Practitioner Primary 363L00000X5020939 (NC)
Gerontology Nurse Practitioner 363LG0600X4704211779 (MI)

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…

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About NPI 1467008342

Bridget Lynn Russell's National Provider Identifier is 1467008342, issued on Aug 15, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 9, 2026.