Individual provider · Type 1 NPI

Ann Marie Russell, APRN, CNP

Nurse Practitioner · Palos Heights, IL

NPI number 1609811330 Active

Practice location

12251 S 80th Ave Ste 1576
Palos Heights, IL 60463-1290

Fax (708) 923-4201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209019048 (IL)

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 1609811330

Ann Marie Russell, APRN, CNP's National Provider Identifier is 1609811330, issued on Jun 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palos Heights, IL. The record was last updated on Sep 29, 2026.