Tiyanna Russell

NPI #1144956822 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1144956822
Entity Type: Individual
Name: Tiyanna Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 26, 2022
Last Updated: Feb 6, 2024

Practice Location

Address: 1026 A AVE NE
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-5036
Phone: (319) 369-7211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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