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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INAE RUSSELL

Active

INAE RUSSELL is a Gerontological Nurse Practitioner healthcare provider located in WILLOW GROVE, Pennsylvania. NPI 1821818857 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · WILLOW GROVE, PA

Registration Details

NPI Number
1821818857
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2024 (1.8563460734716 yrs)
Last Updated
Oct 15, 2024
License
SP030858 (PA)

Practice Information

Address
735 FITZWATERTOWN RD STE 1
WILLOW GROVE, PA, 190901338
Browse PA providers · Browse ZIP 19090
Phone
2156572012
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in WILLOW GROVE, PA

Name Credential NPI
ALI ZAHIR 1386285203
EBONY CHATMON 1578297313
MURIELLE MARIE JEANTY CRNP 1669185443
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.