Active NPIIndividual provider

Stefanie Russell, MD

Family Medicine in Keene, New Hampshire

NPI Number1073019030
Practice location
580 Court St, Keene, NH 03431-1718
Fax
—
Last updated
August 3, 2023

Stefanie Russell is a Family Medicine based in Keene, NH. Stefanie Russell practices in Keene, NH and has the professional credentials of MD. The NPI Number for Stefanie Russell is 1073019030 and holds a License No. 290274 (MA). The current practice location address for Stefanie Russell is 580 Court St, Keene, NH 03431-1718 and can be reached out via phone at 603-354-5400.

Provider Profile Details

NPI Number
1073019030
Provider Name
Stefanie Russell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
580 Court St, Keene, NH 03431-1718
Phone Number
603-354-5400
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2018
Last Update Date
August 3, 2023
Certification Date
August 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
580 Court St
Keene, NH 03431-1718
City
Keene
Zip
03431-1718
Phone Number
603-354-5400
Keene, NH 03431Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810
Phone Number
603-308-1467
Fax Number
508-334-8105

License Information

License Number (1)
290274
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (3)
24528
License State (3)
NH
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stefanie Russell, MD?

The NPI number of Stefanie Russell, MD is 1073019030. It was assigned on March 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Stefanie Russell, MD?

Stefanie Russell, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 290274.

Where does Stefanie Russell, MD practice?

The practice location is 580 Court St, Keene, NH 03431-1718. The office can be reached at 603-354-5400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073019030 directly on the NPPES registry website.

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