Individual provider · Type 1 NPI

Christine Elaine Russell, NP

Gerontology Nurse Practitioner · Norfolk, VA

NPI number 1790322097 Active

Practice location

301 Riverview Ave Ste 400
Norfolk, VA 23510-1065

Fax (757) 625-6743

Mailing address

14 W Riverpoint Dr
Hampton, VA 23669-1072

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024178539 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1790322097

Christine Elaine Russell, NP's National Provider Identifier is 1790322097, issued on Dec 5, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Norfolk, VA. The record was last updated on Dec 3, 2021.