Ms. Kathleen A. Russell NP
Nurse Practitioner in Anaconda, MT(View on Map)
Full Name
Ms. Kathleen A Russell NP
NPI Number
1275631863
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/20/2006
Specialties
(Taxonomies)Licenses
State
Montana
License Number
RN019215
Contact
Information
Purpose
Mailing
Location
Address
445 CENTENNIAL AVE
110 OAK ST
City
Butte
Anaconda
State
MT
MT
Postal Code
59701-2870
59711-2335
Country
US
US
Telephone Number
(406) 723-4075
(406) 563-0071
Identifiers
Identifier
000370310
Identifier State
MT
Identifier Issuer
BCBS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/28/2022