person
Mary Eileen Kumah Russell, ACNP
Gerontology Nurse Practitioner in Phoenix, Arizona
NPI 1417518747

Mary Eileen Kumah Russell is a Gerontology Nurse Practitioner based in Phoenix, AZ and is specialized in Gerontology. Mary Eileen Kumah Russell practices in Phoenix, AZ and has the professional credentials of ACNP. The NPI Number for Mary Eileen Kumah Russell is 1417518747 and holds a License No. 228209 (Arizona).

The current practice location address for Mary Eileen Kumah Russell is 625 N 6Th St, Phoenix, AZ and can be reached out via phone at 602-406-8222 and via fax at 602-406-7811.

Location: 625 N 6Th St, Phoenix, AZ, 85067-3269
person
Provider Profile Details
NPI Number
1417518747
Provider Name
Mary Eileen Kumah Russell
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
625 N 6Th St, Phoenix, AZ, 85067-3269
Phone Number
602-406-8222
Fax Number
602-406-7811
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 N 6Th St
City
State
Zip
85004-2155
Phone Number
602-406-8222
Fax Number
602-406-7811
person
Provider Business Mailing Address Details
Address
625 N 6Th St
City
State
Zip
85004-2155
Phone Number
602-406-8222
Fax Number
602-406-7811
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
228209 (Arizona)
Definition
Definition to come...
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