person
Nicole E Russell, NP
Family Nurse Practitioner in North Syracuse, New York
NPI 1366795551

Nicole E Russell is a Family Nurse Practitioner based in North Syracuse, NY and is specialized in Family. Nicole E Russell practices in North Syracuse, NY and has the professional credentials of NP. The NPI Number for Nicole E Russell is 1366795551 and holds a License No. 337402 (New York).

The current practice location address for Nicole E Russell is 5496 E Taft Rd, North Syracuse, NY and can be reached out via phone at 315-552-6700 and via fax at 315-552-6701.

Location: 5496 E Taft Rd, North Syracuse, NY, 13212-3784
person
Provider Profile Details
NPI Number
1366795551
Provider Name
Nicole E Russell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5496 E Taft Rd, North Syracuse, NY, 13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03519028 05 NY
institution
Provider Business Practice Location Address Details
Address
5496 E Taft Rd
City
State
Zip
13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
person
Provider Business Mailing Address Details
Address
5496 E Taft Rd
City
State
Zip
13212-3784
Phone Number
315-552-6700
Fax Number
315-552-6701
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
337402 (New York)
Definition
Definition to come...
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