Individual provider · Type 1 NPI
Michael Russell
Primary Care Nurse Practitioner · Sharon, PA
NPI number
1891413621
Active
Practice location
80 E Silver St Ste 400
Sharon, PA 16146-1546
Mailing address
4206 Hopkins Rd
Youngstown, OH 44511-3710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.0031358 (OH) |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0031358 (OH) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN.CNP.0031358 (OH) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1891413621
Michael Russell's National Provider Identifier is 1891413621, issued on Aug 18, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sharon, PA. The record was last updated on Aug 23, 2022.