Individual provider · Type 1 NPI

Evan Russell, NP

Nurse Practitioner · Boston, MA

NPI number 1639626898 Active

Practice location

780 Albany St
Boston, MA 02118-2524

Mailing address

14 Remington St, Apt 101
Cambridge, MA 02138-5208

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2306774 (MA)
Nurse Practitioner Primary 363L00000XRN2306774 (MA)

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 1639626898

Evan Russell, NP's National Provider Identifier is 1639626898, issued on Sep 6, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Aug 11, 2017.