person
Shannan R Russ, NP
Family Nurse Practitioner in Elmira, New York
NPI 1457405144

Shannan R Russ is a Family Nurse Practitioner based in Elmira, NY and is specialized in Family. Shannan R Russ practices in Elmira, NY and has the professional credentials of NP. The NPI Number for Shannan R Russ is 1457405144 and holds a License No. F332653 (New York).

The current practice location address for Shannan R Russ is 600 Ivy St, Elmira, NY and can be reached out via phone at 607-737-7780 and via fax at 607-737-7788. You can also correspond with Shannan R Russ through the mailing address at 722 W WATER ST, ELMIRA, NY - 14905-2435 (mailing address contact number: 607-271-2050).

Location: 600 Ivy St, Elmira, NY, 14905-2435
person
Provider Profile Details
NPI Number
1457405144
Provider Name
Shannan R Russ
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
600 Ivy St, Elmira, NY, 14905-2435
Phone Number
607-737-7780
Fax Number
607-737-7788
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02001921 05 NY
institution
Provider Business Practice Location Address Details
Address
600 Ivy St
City
State
Zip
14905-1627
Phone Number
607-737-7780
Fax Number
607-737-7788
person
Provider Business Mailing Address Details
Address
722 W Water St
City
State
Zip
14905-2435
Phone Number
607-271-2050
Fax Number
607-271-2099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F332653 (New York)
Definition
Definition to come...
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