Latoya Lashae Russell ACNP-BC

NPI 1134445729 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1134445729
Gender Female
Enumeration Date 04/08/2010
Last Updated 06/02/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
922 FAIRFAX PARK
TUSCALOOSA AL, 35406, US
Phone (205) 391-9300
Fax (205) 391-9374
Business Location
922 FAIRFAX PARK
TUSCALOOSA AL, 35406, US
Phone (205) 391-9300
Fax (205) 391-9374
Toxanomy
Taxonomy Code 363LA2100X
License State Alabama
License Number 1-095107
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According to our database, Miss Latoya Lashae Russell ACNP-BC NPI is 1134445729, taxonomy code is 363LA2100X and license number is 1-095107, license state is located at Alabama. Latoya Lashae Russell ACNP-BC physically located at 922 Fairfax Park, Tuscaloosa AL, 35406. NPI Number Latoya Lashae Russell ACNP-BC has the Individual type.

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1134445729 NPI number is provided on an as is basis without warranty of any kind. 1134445729 is maintained by the National Plan & Provider Enumeration System. The contents of Latoya Lashae Russell ACNP-BC are for informational purposes only.