Individual provider · Type 1 NPI
Melinda Rochelle Russell, NP
Nurse Practitioner · Southfield, MI
Practice location
23999 Northwestern Hwy Ste 114
Southfield, MI 48075-2578
Mailing address
18701 Bretton Dr
Detroit, MI 48223-1379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704266784 (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 1548758543
Melinda Rochelle Russell, NP's National Provider Identifier is 1548758543, issued on Apr 25, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on Apr 25, 2018.