Individual provider · Type 1 NPI

Theresa A. Russell, FNP

Family Nurse Practitioner · Enterprise, OR

NPI number 1629061981 Active

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.