person
Teresa M Russell, NP
Adult Health Nurse Practitioner in San Diego, California
NPI 1770639346

Teresa M Russell is an Adult Health Nurse Practitioner based in San Diego, CA and is specialized in Adult Health. Teresa M Russell practices in San Diego, CA and has the professional credentials of NP. The NPI Number for Teresa M Russell is 1770639346 and holds a License No. 14528 (California).

The current practice location address for Teresa M Russell is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6950 and via fax at 619-532-5501.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92111-4045
person
Provider Profile Details
NPI Number
1770639346
Provider Name
Teresa M Russell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92111-4045
Phone Number
619-532-6950
Fax Number
619-532-5501
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
504376 01 CA REGISTERED NURSE
0387014-21 01 CA NURSE PRACTITIONER CRED
199934486 01 CA CERT. WOUND OSTOMY CARE
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6950
Fax Number
619-532-5501
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6950
Fax Number
619-532-5501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
14528 (California)
Definition
Definition to come...
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