Search › Indiana › 363LA2200X
Mary Russell, NP
NPI 1770590374 · on the registry since 2006
Practice
- Address
- 3834 S Emerson Ave Ste 100
Indianapolis, IN 46203 - Phone
- (317) 782-1577
- Fax
- (317) 780-5549
- Organisation at this address
- Isd Renal Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana