Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | FNP13798 | CA |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN9473215 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 727103 | TX |
N | 363LP0200X | Nurse Practitioner - Pediatrics | FNP13798 | CA |
Y | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | APRN9473215 | FL |
NPI | 1346357845 |
---|---|
Provider Name | Victorria F Russell |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1750369203 | GRP NPI NUMBER (01) |