Individual provider · Type 1 NPI
Mark L. Russell, APRN
Nurse Practitioner · West Hartford, CT
Practice location
125 Lasalle Rd
West Hartford, CT 06107-2322
Fax (860) 906-1269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 077986 (CT) |
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 1609164532
Mark L. Russell, APRN's National Provider Identifier is 1609164532, issued on Jul 12, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Hartford, CT. The record was last updated on Jun 4, 2015.