Individual provider · Type 1 NPI
Teresa M. Russell, NP
Adult Health Nurse Practitioner · San Diego, CA
NPI number
1770639346
Active
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Fax (619) 532-5501
Mailing address
3485 Old Cobble Ct
San Diego, CA 92111-4045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 14528 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1770639346
Teresa M. Russell, NP's National Provider Identifier is 1770639346, issued on Jan 26, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Diego, CA. The record was last updated on May 15, 2009.