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Debra Lynn Russell
Family Nurse Practitioner in Canonsburg, Pennsylvania
NPI 1528648953

Debra Lynn Russell is a Family Nurse Practitioner based in Canonsburg, PA and is specialized in Family. Debra Lynn Russell practices in Canonsburg, PA. The NPI Number for Debra Lynn Russell is 1528648953 and holds a License No. SP021399 (Pennsylvania).

The current practice location address for Debra Lynn Russell is 100 Medical Blvd, Canonsburg, PA and can be reached out via phone at 412-359-3030 and via fax at 412-359-3060.

Location: 100 Medical Blvd, Canonsburg, PA, 15317-9762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528648953
Provider Name
Debra Lynn Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Medical Blvd, Canonsburg, PA, 15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Medical Blvd
City
Canonsburg
State
Pennsylvania
Zip
15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060
person
Provider Business Mailing Address Details
Address
100 Medical Blvd
City
Canonsburg
State
Pennsylvania
Zip
15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP021399 (Pennsylvania)
Definition
Definition to come...
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