Individual provider · Type 1 NPI
Valerie Rose Russell, PA
Medical Physician Assistant · Gates Mills, OH
NPI number
1891579389
Active
Practice location
639 Battles Rd
Gates Mills, OH 44040-9768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 50.008409RX (OH) |
Medical Physician Assistant: Definition to come...
About NPI 1891579389
Valerie Rose Russell, PA's National Provider Identifier is 1891579389, issued on Aug 24, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gates Mills, OH. The record was last updated on Jan 10, 2024.