Individual provider · Type 1 NPI

Maryanne Russell, NP

Nurse Practitioner · Minnetonka, MN

NPI number 1588071369 Active

Practice location

9900 Bren Rd E
Minnetonka, MN 55343-9664

Mailing address

PO Box 13
Hiawassee, GA 30546-0013

Other practice locations

  • 48 Haralson Pl, Suite 1, Blairsville, GA 30512-3087 · (706) 745-0200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN154916 (GA)

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 1588071369

Maryanne Russell, NP's National Provider Identifier is 1588071369, issued on Jul 14, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 20, 2020.