Inae Russell
NPI #1821818857 in Willow Grove, Pennsylvania
Provider Information
- NPI Number
- 1821818857
- Entity Type
- Individual
- Name
- Inae Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 735 FITZWATERTOWN RD STE 1
- City
- Willow Grove
- State
- Pennsylvania
- ZIP Code
- 19090-1338
- Phone
- (215) 657-2012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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