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Nicole Elizabeth Russell, MD
Family Medicine Physician in Sandpoint, Idaho
NPI 1982017968

Nicole Elizabeth Russell is a Family Medicine Physician based in Sandpoint, ID. Nicole Elizabeth Russell practices in Sandpoint, ID and has the professional credentials of MD. The NPI Number for Nicole Elizabeth Russell is 1982017968 and holds a License No. MED-PHYS-LIC-58693 (Idaho).

The current practice location address for Nicole Elizabeth Russell is 810 North 6Th Ave., Sandpoint, ID and can be reached out via phone at 208-265-6252.

Location: 810 North 6Th Ave., Sandpoint, ID, 83864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982017968
Provider Name
Nicole Elizabeth Russell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
810 North 6Th Ave., Sandpoint, ID, 83864
Phone Number
208-265-6252
Fax Number
Provider Enumeration Date
06/06/2014
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
810 North 6Th Ave.
City
Sandpoint
State
Idaho
Zip
83864
Phone Number
208-265-6252
Fax Number
person
Provider Business Mailing Address Details
Address
810 North 6Th Ave.
City
Sandpoint
State
Idaho
Zip
83864
Phone Number
208-265-6252
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MED-PHYS-LIC-58693 (Montana)
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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