Michaela Russell
NPI #1124736988 in Essex, Connecticut
Provider Information
- NPI Number
- 1124736988
- Entity Type
- Individual
- Name
- Michaela Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Nov 10, 2022
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 35 SAYBROOK RD
- City
- Essex
- State
- Connecticut
- ZIP Code
- 06426-1490
- Phone
- (860) 767-0168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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