Theresa A Russell, FNP
NPI #1629061981 in Enterprise, Oregon
Provider Information
- NPI Number
- 1629061981
- Entity Type
- Individual
- Name
- Theresa A Russell, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Dec 13, 2013
Practice Location
- Address
- 406 NE 1ST ST
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-1168
- Phone
- (541) 426-4502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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Organizations
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|---|---|
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