Individual provider · Type 1 NPI
Brenda Novella Russell, NP
Adult Health Nurse Practitioner · Fort Eustis, VA
NPI number
1922201169
Active
Practice location
576 Jefferson Ave, Mcdonald Army Health Center
Fort Eustis, VA 23604-5548
Mailing address
168 Easy St
Dutton, VA 23050-9734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0024138348 (VA) |
Adult Health Nurse Practitioner: Definition to come...
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- Andrew Jordan Mishler, MDInternal Medicine Physician Fort Eustis, VA NPI 1609369578
- Angel Kahihikolo Mangum, CRNACertified Registered Nurse Anesthetist Fort Eustis, VA NPI 1831165216
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About NPI 1922201169
Brenda Novella Russell, NP's National Provider Identifier is 1922201169, issued on Jun 6, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Eustis, VA. The record was last updated on Jul 8, 2007.