person
Kathryn Russell
Neonatal Nurse Practitioner in Boise, Idaho
NPI 1568940377

Kathryn Russell is a Neonatal Nurse Practitioner based in Boise, ID and is specialized in Neonatal. Kathryn Russell practices in Boise, ID. The NPI Number for Kathryn Russell is 1568940377 and holds a License No. 7294725-4405 (Idaho).

The current practice location address for Kathryn Russell is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2088.

Location: 190 E Bannock St, Boise, ID, 83712-6241
person
Provider Profile Details
NPI Number
1568940377
Provider Name
Kathryn Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-2088
Fax Number
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2088
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2088
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
7294725-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
7294725-4405 (Utah)
Definition
Definition to come...
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