Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRI LYNNE RUSSELL, RN MS CNS
ActiveChild & Adolescent Psychiatric Nurse · WACONIA, MN
Registration Details
- NPI Number
- 1205838661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2005 (20.722833268066 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R-122719-6 (MN)
Practice Information
- Address
-
540 E 1ST STWACONIA, MN, 553871601Browse MN providers · Browse ZIP 55387
- Phone
- 9524424437
- Fax
- 9524423084
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.