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Russell V. K. Carson
Family Nurse Practitioner in Mandeville, Louisiana
NPI 1851302996

Russell V. K. Carson is a Family Nurse Practitioner based in Woonsocket, LA and is specialized in Family. Russell V. K. Carson practices in Mandeville, LA. The NPI Number for Russell V. K. Carson is 1851302996 and holds a License No. AP04417 (Louisiana).

The current practice location address for Russell V. K. Carson is 2915 Highway 190, Mandeville, LA and can be reached out via phone at 985-626-8106.

Location: 2915 Highway 190, Mandeville, LA, 02895-0784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851302996
Provider Name
Russell V. K. Carson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2915 Highway 190, Mandeville, LA, 02895-0784
Phone Number
985-626-8106
Fax Number
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2915 Highway 190
City
Mandeville
State
Louisiana
Zip
70471-3298
Phone Number
985-626-8106
Fax Number
person
Provider Business Mailing Address Details
Address
2915 Highway 190
City
Mandeville
State
Louisiana
Zip
70471-3298
Phone Number
985-626-8106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP04417 (Louisiana)
Definition
Definition to come...
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