Mary Russell, FNP
NPI #1265837025 in San Marcos, California
Provider Information
- NPI Number
- 1265837025
- Entity Type
- Individual
- Name
- Mary Russell, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 22, 2014
- Last Updated
- Oct 22, 2014
Practice Location
- Address
- 1519 CLIFFTOP AVE
- City
- San Marcos
- State
- California
- ZIP Code
- 92078-1075
- Phone
- (760) 522-3941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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