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Madison Russell
Student in an Organized Health Care Education/Training Program in Morrilton, Arkansas
NPI 1851074645

Madison Russell is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Madison Russell practices in Morrilton, AR. The NPI Number for Madison Russell is 1851074645 and holds a License No. (Arkansas).

The current practice location address for Madison Russell is 1510 E Harding St, Morrilton, AR and can be reached out via phone at 501-208-2316.

Location: 1510 E Harding St, Morrilton, AR, 72034-5562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851074645
Provider Name
Madison Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1510 E Harding St, Morrilton, AR, 72034-5562
Phone Number
501-208-2316
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1510 E Harding St
City
Morrilton
State
Arkansas
Zip
72110-1540
Phone Number
501-208-2316
Fax Number
person
Provider Business Mailing Address Details
Address
1510 E Harding St
City
Morrilton
State
Arkansas
Zip
72110-1540
Phone Number
501-208-2316
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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