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

VALERIE ROSE RUSSELL, PA

Active Sole Proprietor

VALERIE ROSE RUSSELL, PA is a Medical Physician Assistant healthcare provider located in GATES MILLS, Ohio. NPI 1891579389 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GATES MILLS, OH

Registration Details

NPI Number
1891579389
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2023 (2.9664614979441 yrs)
Last Updated
Jan 10, 2024
License
50.008409RX (OH)
Sole Proprietor
Yes

Practice Information

Address
639 BATTLES RD
GATES MILLS, OH, 440409768
Browse OH providers · Browse ZIP 44040
Phone
2168357200
Primary Specialty
Medical Physician Assistant
363AM0700X
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.