Individual provider · Type 1 NPI
Theresa A. Russell, FNP
Family Nurse Practitioner · Enterprise, OR
NPI number
1629061981
Active
Practice location
406 NE 1st St
Enterprise, OR 97828-1168
Fax (541) 426-6403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 91000286 (OR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Enterprise
- Billie J. Kaskasuto, DC, FNP-CFamily Nurse Practitioner Enterprise, OR NPI 1124078175
- Jennifer Little, NPFamily Nurse Practitioner Enterprise, OR NPI 1134679509
- Michael McDonald, DNP, FNP-BC, BSN, RNFamily Nurse Practitioner Enterprise, OR NPI 1205186509
- Anna L. Hiebert, FNPFamily Nurse Practitioner Enterprise, OR NPI 1275008096
About NPI 1629061981
Theresa A. Russell, FNP's National Provider Identifier is 1629061981, issued on Aug 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Enterprise, OR. The record was last updated on Dec 13, 2013.