Individual provider · Type 1 NPI
Deniece Russell-McAdory
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1629408463
Active
Practice location
6705 W Highway 290 Ste 607
Austin, TX 78735-8408
Fax (512) 856-6238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R874534 (MS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1058694 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629408463
Deniece Russell-McAdory's National Provider Identifier is 1629408463, issued on Nov 14, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Aug 19, 2024.