Individual provider · NPI-1

Natalia B Russell, CRNA

Nurse Anesthetist, Certified Registered · Livingston, NJ

NPI number1326712753
StatusActive
Last updated in NPPESOct 28, 2021

Details

NPI
1326712753
Entity type
Individual (NPI-1)
Name
Natalia B Russell
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2021
Certification date
Oct 28, 2021
Last updated
Oct 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered26NJ01215800NJYes
163WG0000X Registered Nurse, General Practice26NR17248500NJ

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 201-893-9449

Mailing address

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Phone 201-893-9449

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