Individual provider · Type 1 NPI
Bernadine L. Russell, RN
Diabetes Educator Registered Nurse · Phoenix, AZ
NPI number
1497823108
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 263-1619
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | RN136887 (AZ) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1497823108
Bernadine L. Russell, RN's National Provider Identifier is 1497823108, issued on Dec 1, 2006. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.