Individual provider · Type 1 NPI
Elizabeth Louise Russ, AGACNP
Acute Care Nurse Practitioner · Petoskey, MI
NPI number
1730995432
Active
Practice location
416 Connable Ave
Petoskey, MI 49770-2212
Mailing address
4397 Long Lake Rd
Cheboygan, MI 49721-9277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704358971 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1730995432
Elizabeth Louise Russ, AGACNP's National Provider Identifier is 1730995432, issued on Dec 6, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Petoskey, MI. The record was last updated on Dec 6, 2024.