Individual provider · Type 1 NPI
Russell E. Little, APN
Family Nurse Practitioner · Rutherford, TN
NPI number
1962456061
Active
Practice location
104 E Main St
Rutherford, TN 38369-9711
Fax (731) 665-7750
Mailing address
PO Box 370
Rutherford, TN 38369-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 92256 (TN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1962456061
Russell E. Little, APN's National Provider Identifier is 1962456061, issued on May 22, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rutherford, TN. The record was last updated on Mar 18, 2015.