MISS Imelda Tividad Russell CRNP

  • NPI 1528163540
According to our database, the NPI number for MISS Imelda Tividad Russell CRNP is 1528163540 and activated since 17 years ago. MISS Imelda Tividad Russell CRNP is an individual provider who specializes in Adult Health, and the primary practice location is 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737. You can also contact MISS Imelda Tividad Russell CRNP via telephone number is (410) 997-1907. Provider NPI information was last updated on 10/01/2018.

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Overview of MISS Imelda Tividad Russell CRNP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/14/2006
  • Last updated: 10/01/2018

Primary Scrop of Practice

  • Taxonomy Code: 363LA2200X
  • Specialty: Adult Health
  • License Number: AC000309
  • License State: MD

Provider Mailing Address

  • Address: 6510 Kenilworth Ave Ste 2500
    Riverdale, MD 20737
  • Phone: 109-971-9074
  • Fax:

Provider Practice Location

  • Address: 6510 Kenilworth Ave Ste 2500
    Riverdale, MD 20737
  • Phone: 410-997-1907
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LA2200X
  • Specialty: Adult Health
  • License Number: AC000309
  • License State: MD
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MISS Imelda Tividad Russell CRNP?
  • A: The npi number for MISS Imelda Tividad Russell CRNP is 1528163540.
  • Q: What are MISS Imelda Tividad Russell CRNP's specialties?
  • A: MISS Imelda Tividad Russell CRNP's specialties are Adult Health and different specialities.
  • Q: What is the medical license for MISS Imelda Tividad Russell CRNP?
  • A: The medical license number for MISS Imelda Tividad Russell CRNP is AC000309 and issued in MD in USA.
  • Q: Where is MISS Imelda Tividad Russell CRNP practice location?
  • A: MISS Imelda Tividad Russell CRNP is practicing at 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737.
  • Q: How to contact MISS Imelda Tividad Russell CRNP?
  • A: You can contact MISS Imelda Tividad Russell CRNP via 410-997-1907.
Medicare Specialty
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Sports Medicine
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