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Russell Sanborn, FNP
Family Nurse Practitioner in Mandeville, Louisiana
NPI 1215715297

Russell Sanborn is a Family Nurse Practitioner based in Mandeville, LA and is specialized in Family. Russell Sanborn practices in Mandeville, LA and has the professional credentials of FNP. The NPI Number for Russell Sanborn is 1215715297 and holds a License No. 229532 (Louisiana).

The current practice location address for Russell Sanborn is 231 Saint Ann Dr Ste 2, Mandeville, LA and can be reached out via phone at 985-624-5410.

Location: 231 Saint Ann Dr Ste 2, Mandeville, LA, 70471-6901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215715297
Provider Name
Russell Sanborn
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
231 Saint Ann Dr Ste 2, Mandeville, LA, 70471-6901
Phone Number
985-624-5410
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
231 Saint Ann Dr Ste 2
City
Mandeville
State
Louisiana
Zip
70471-3476
Phone Number
985-624-5410
Fax Number
person
Provider Business Mailing Address Details
Address
231 Saint Ann Dr Ste 2
City
Mandeville
State
Louisiana
Zip
70471-3476
Phone Number
985-624-5410
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
229532 (Louisiana)
Definition
Definition to come...
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